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BACKGROUND: In this review, we evaluated the clinical efficacy of interventions used for the treatment of endo-perio lesions (EPL). METHODS: A systematic scoping review of clinical trials was developed. Mechanical periodontal therapy implemented simultaneously with endodontic therapy demonstrated efficacy in the treatment of concurrent EPL without communication. Endodontic treatment and immediate periodontal surgery did not affect the result of the management of combined EPL with apical communication. The use of diode laser, the management of platelet-rich fibrin (PRF) and titanium-prepared PRF, and the implementation of bone grafts plus endodontic treatment with mineral-trioxide or gutta-percha seems to be an adequate strategy in patients with EPL. CONCLUSIONS: The treatment of EPL using simultaneous endodontic and periodontal therapies seems to be an acceptable treatment alternative.
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Ardila et al. (2022) studied this question.
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