Endo - Perio Lesions

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INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

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DEFINITION

STOCK

Lesion with sub marginal or intra bony peri radicular bone loss of pulpal and/or
periodontal origin tha...
Classification

COHEN

•

Primary endodontic lesion

•

Primary endodontic lesion with secondary periodontal involvement

...
WEINE

Type I - Tooth in which symptoms clinically and radiographically simulate

periodontal

disease but are due to pulp...
GROSSMAN
GROUP 1- LESIONS REQUIRING ENDODONTIC TREATMENT ONLY

•

Necrotic pulp and apical granulomatous tissue replacing ...
GROUP 2 - LESIONS REQUIRING PERIODONTAL TREATMENT ONLY

•

Occlusal trauma causing reversible pulpitis

•

Occlusal trauma...
GROUP 3 - LESIONS REQUIRING COMBINED ENDO-PERIO TREATMENT

•

Any lesion in Group I That results in irreversible reactions...
ATYPICAL ANATOMIC FACTORS
Malaligned tooth
Multirooted teeth / additional root
Additional canal
Cervical enamel projection...
MISCELLANEOUS
Iatrogenic
systemic

SINUS TRACT

INFRABONY POCKET

•From canal

•From gingival crevice

•Narrow

•wide

www...
Causes :( Stock )

Root canal infection

Root fractures – crown / root ( vital / non vital )

www.indiandentalacademy.com
...
Thank you
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com
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Endo perio lesions /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

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Endo perio lesions /certified fixed orthodontic courses by Indian dental academy

  1. 1. Endo - Perio Lesions www.indiandentalacademy.com
  2. 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  3. 3. DEFINITION STOCK Lesion with sub marginal or intra bony peri radicular bone loss of pulpal and/or periodontal origin that communicates with the oral cavity via probing defect. An isolated, usually narrow, deep probing depth of pulpal or periodontal origin. www.indiandentalacademy.com
  4. 4. Classification COHEN • Primary endodontic lesion • Primary endodontic lesion with secondary periodontal involvement • Primary periodontal lesion • Primary periodontal lesion with secondary endodontic involvement • True combined lesion • Concomitant pulpal & periodontal lesion www.indiandentalacademy.com
  5. 5. WEINE Type I - Tooth in which symptoms clinically and radiographically simulate periodontal disease but are due to pulpal inflammation Type II - Tooth that has both pulpal and periodontal disease concomitantly Type III - Tooth has no pulpal problem but require endodontic therapy plus root amputation to gain periodontal healing Type IV - Tooth that clinically and radiographically simulate pulpal or periapical disease but in fact have periodontal disease www.indiandentalacademy.com
  6. 6. GROSSMAN GROUP 1- LESIONS REQUIRING ENDODONTIC TREATMENT ONLY • Necrotic pulp and apical granulomatous tissue replacing periodontium with or without sinus tract • Chronic peri apical abscess with sinus tract • Longitudinal and horizontal root fractures • Pathologic and iatrogenic root perforations • Teeth with incomplete apical root development • Endodontic implants • Teeth that require hemi section • Root submergence www.indiandentalacademy.com
  7. 7. GROUP 2 - LESIONS REQUIRING PERIODONTAL TREATMENT ONLY • Occlusal trauma causing reversible pulpitis • Occlusal trauma plus gingival inflammation resulting in pocket formation and reversible pulpitis • Supra bony or infra bony pocket formation treated with overzealous root planning and curettage leading to pulpal sensitivity • Extensive infra bony pocket formation extending beyond the root apex and sometimes coupled with lateral or apical resorption yet with pulp that responds with in normal limits to clinical testing www.indiandentalacademy.com
  8. 8. GROUP 3 - LESIONS REQUIRING COMBINED ENDO-PERIO TREATMENT • Any lesion in Group I That results in irreversible reactions in the attachment apparatus and requires periodontal treatment • Any lesion in Group II that results in irreversible reactions to the pulp tissue and also requires endodontic treatment www.indiandentalacademy.com
  9. 9. ATYPICAL ANATOMIC FACTORS Malaligned tooth Multirooted teeth / additional root Additional canal Cervical enamel projection Large lateral / accessory canal TRAUMA With gingival inflammation Tooth fracture Pulp / perio involvement + sinus tract Cellular changes - resorption www.indiandentalacademy.com
  10. 10. MISCELLANEOUS Iatrogenic systemic SINUS TRACT INFRABONY POCKET •From canal •From gingival crevice •Narrow •wide www.indiandentalacademy.com
  11. 11. Causes :( Stock ) Root canal infection Root fractures – crown / root ( vital / non vital ) www.indiandentalacademy.com Root perforation
  12. 12. Thank you www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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