What are Endo-Perio lesions?
The endo-perio lesion is a condition characterized by the association of periodontal and pulpal disease in the same dental element. The relationship between periodontal and pulpal disease was first described by Simring and Goldberg in 1964. 1.
How do you manage Endo-Perio lesions?
Generally, in a case of combined endo-perio lesion, an adequate endodontic therapy would result in healing of the endodontic component, and the prognosis would finally depend on the efficacy of periodontal repair/regeneration initiated by either of the treatment procedures.
How are Endo-Perio lesions diagnosed?
o Radiographs are indicated in order to help confirm the diagnosis of a perio-endo lesion. A periapical is the radiograph of choice and is indicated where a recent one is unavailable.
What will be the effect of endodontic disease on the Periodontium and vice versa?
Over time, an untreated primary endodontic lesion may result in secondary consequential periodontal breakdown, which, if this reaches the gingival sulcus or a periodontal pocket, may become infected by periodonto-pathogens which subsequently trigger further periodontitis-associated periodontal tissue destruction.
What is primary endo?
Primary endo lesions originate from the dental pulp. Clinically, the pulp tissue is often completely necrotic. Periodontal attachment loss is not detectable. Swelling or sinus tracts, if present, are typically located in close proximity to the periapex.
How are endodontic cases diagnosed?
In such cases, dental history and thermal testing are the primary tools for assessing pulpal status. Asymptomatic Irreversible Pulpitis is a clinical diagnosis based on subjective and objective findings indicating that the vital inffamed pulp is incapable of healing and that root canal treatment is indicated.
What is retrograde periodontitis?
The formation of bacterial plaque on denuded root surfaces, following periodontal disease, has the potential to induce pathologic changes in the pulp through lateral or accessory canals. This process, the reverse of the effects of a necrotic pulp on the periodontal ligament, has been referred to as retrograde pulpitis.
How is a vertical root fracture best confirmed?
So, the combination of clinical signs, symptoms and radiographic features may provide a clue for the diagnosis of vertical root fracture. Also, presently CBCT has been shown to be promising in the early detection of vertical root fractures. A periapical radiograph can detect a fracture line only in 35.7% cases.
Which factor can cause pulpal nerve damage?
Pulp necrosis is the end-stage of pulpitis, which can be caused by: Cavities that are untreated and progress deep into the tooth. Trauma to the tooth interfering with the tooth’s blood supply. Multiple invasive treatments on a tooth.
What is symptomatic apical periodontitis?
Symptomatic apical periodontitis and acute apical abscess are common causes of dental pain and arise from an inflamed or necrotic dental pulp, or infection of the pulpless root canal system.
What is endodontic disease?
Endodontic Disease refers to infection or inflammation of the pulp of the tooth. (For more information on tooth anatomy, please see our website page. The pulp is the living part of the tooth. It allows the tooth to continue to develop as your pet ages.
Is apical periodontitis reversible?
Diagnosis: reversible pulpitis; normal apical tissues.
If the pulp is exposed, treatment would be non-surgical endodontic treatment followed by a permanent restoration such as a crown.
What is refractory periodontitis?
Refractory periodontal disease is characterized by low plaque scores and low responsiveness to periodontal therapy. The patients often have a history of antibiotic therapy and therefore have a high incidence of resistance in the subgingival microflora.
What is marginal periodontitis?
Marginal periodontitis is a disease of the marginal periodontium characterized by inflammation and resorption of the alveolar crest. Clinically it must be differentiated from gingivitis and senile atrophy.
Can a tooth with a vertical root fracture be saved?
Vertical root fracture is a big challenge to dentists for its diagnosis and treatment. As the tooth presents poor prognosis, the most common treatment modality is extraction. One can save the tooth from extraction by the reconstruction of fracture fragments followed by intentional reimplantation.
Can a root fracture heal itself?
Sometimes, you may have fractures so small that they’re pretty undetectable and have no accompanying symptoms along with them. They may not heal themselves, but require no further action to heal either. As for more serious fractures, your tooth will not be able to heal or mend itself.
What organs are teeth connected to?
How Are Your Teeth Connected To the Other Organs In Your Body?
- Lungs – Upper premolars, lower first and second molars.
- Large intestine – Upper premolars, lower first and second molars.
- Spleen – Lower premolars.
- Stomach – Upper first and second molars, lower premolars.
What happens if tooth pulp dies?
Dead or dying nerves in the pulp can lead to a dead tooth. A dead tooth will also no longer have any blood flow to it. A dead nerve in a tooth is sometimes referred to as a necrotic pulp or a pulpless tooth. Once this happens, the tooth will eventually fall out by itself.
What causes periapical lesion?
In contrast, the primary cause of periapical lesions is endodontic infection. PAMPs-triggered immune response induces proinflammatory cytokines and subsequent periapical pathosis, including chronic inflammation and bone destruction. The primary cause of periapical lesions does not overlap with metabolic disorders.
What is an endodontist vs dentist?
Dentists focus on general dental care, such as cleaning your mouth, providing fillings for cavities, and treating gum disease. On the other hand, endodontists have additional training in diagnosing and treating diseases and injuries to the tooth pulp and tissues surrounding the root of the tooth.
What does periapical lucency mean?
Periapical lucencies are often seen incidentally at head and neck imaging studies performed for indications not related to the teeth. These lesions are, however, occasionally manifestations of diseases that have a wide range of effects and may at times represent the source of symptoms that prompted the study.
Is apical periodontitis painful?
Pain due to apical periodontitis is therefore a highly prevalent type of infection-induced pain that relies heavily on the physical elimination of a bacterial etiology by way of root canal treatment procedures.
What bacteria is involved in periapical periodontitis?
Bacterial named species frequently detected in primary infections, including both acute and chronic apical periodontitis, belong to diverse genera of gram-negative (Fusobacterium, Dialister, Porphyromonas, Prevotella, Tannerella, Treponema, Campylobacter, and Veillonella) and gram-positive (Parvimonas, Filifactor.
What is Papillon Lefevre syndrome?
Papillon-Lefèvre syndrome is characterized by the development of dry scaly patches of skin (hyperkeratosis) usually around the age of one to five years. These patches are usually confined to the undersides of the hands and feet, but may spread to the knees and elbows.
What are the 3 categories of periodontitis?
Three forms of periodontitis have been identified: (1) periodontitis, (2) necrotising periodontitis, (3) periodontitis as a direct manifestation of systemic diseases. A classification system must include complexity and risk factors as well as disease severity.