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Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
Endo note 13   perioendolesion
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Endo note 13 perioendolesion

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Dr. Özkan ADIGÜZEL

Dr. Özkan ADIGÜZEL

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  • 1. Perio Endo Lesions8/31/2009 Endo 13 1
  • 2. Medical history Senbility testing Pocket depth Furcation involvement Tooth mobility Radiograph8/31/2009 Endo 13 2
  • 3. Non vital carious tooth Lateral canal Furcation involvement Local Periodontal abscess Localized deep pocket Good periodontal condition Resolution after RCT8/31/2009 Endo 13 3
  • 4. Drain through the periodontiam Buccul abscess8/31/2009 Endo 13 4
  • 5. Drain through the furcation8/31/2009 Endo 13 5
  • 6. Non vital tooth Lateral canal Furcation involvement Local Periodontal abscess Localized deep pocket poor periodontal condition Resolution after RCT + perio Rx8/31/2009 Endo 13 6
  • 7. Deep periodontal pocket Periodontal probe 6mm8/31/2009 Endo 13 7
  • 8. Nonvital second premolar Lateral canal8/31/2009 Endo 13 8
  • 9. 8/31/2009 Endo 13 9
  • 10. Generalized poor periodontal condition Generalized deep pocket Generalized Periodontal abscess Developmental defects Lateral canal Furcation involvement Sound vital or nonvital tooth Resolution after perio Rx + RCT8/31/2009 Endo 13 10
  • 11. Food accumulation deep pocket & vital tooth Calculi & root concavity 8/31/2009 Endo 13 11
  • 12. Generalized poor periodontal condition Generalized deep pocket Generalized Periodontal abscess Previous perio Rx Developmental defects Lateral canal Furcation involvement Sound non vital tooth Resolution after perio Rx and RCT8/31/2009 Endo 13 12
  • 13. Palato-gingival groove of Cervical enamel projectionmaxillary lateralliincisor on mandibular molar8/31/2009 Endo 13 13
  • 14. 8/31/2009 Endo 13 14
  • 15. Generalized poor periodontal condition Generalized deep pocket Generalized Periodontal abscess Carious non vital tooth Two lesions coalesce Resolution depend on perio Rx and RCT and amount of bone loss8/31/2009 Endo 13 15
  • 16. 8/31/2009 Endo 13 16
  • 17. Generalized poor periodontal condition Generalized deep pocket Generalized Periodontal abscess Carious non vital tooth Resolution depend on perio Rx and RCT and amount of bone loss8/31/2009 Endo 13 17
  • 18. 8/31/2009 Endo 13 18
  • 19. 8/31/2009 Endo 13 19
  • 20. Clinical Pulpal PeriodontalOrigin of infection Pulpal PeriodontalVitality Nonvital VitalRestorative Deep or extensive Not relatedPlaque / calculus Not related Primary causeInflammation Acute ChronicPockets Single and narrow Wide, coronally and multiplePH value Often acid Usually alkalineTrauma Iry or IIry Contributing factorMicrobial Few complexTreatment Root canal therapy Periodontal treatment8/31/2009 Endo 13 20
  • 21. Radiological Pulpal PeriodontalPattern Localized GeneralizedBone loss Wider apically Wider coronallyPeriapical Radiolucent Not often relatedVertical bone loss No YesTreatment Root canal therapy Periodontal treatment8/31/2009 Endo 13 21
  • 22. Histopathology Pulpal PeriodontalJunctional epithelium No apical migration Apical migrationGranulation tissue Apical minimum Coronal largerGingival Normal Some recessionTreatment Root canal therapy Periodontal treatment8/31/2009 Endo 13 22
  • 23. Traditional endodontic & periodontic Rx Resection (extraction or root amputation) Implant or fixed prosthesis Restoring (bone replacement graft using guided tissue and bone regeneration techniques)8/31/2009 Endo 13 23
  • 24. Root fracture Root perforation Root caries Dehiscence Fenestration in multy rooted tooth External root resorption Impaired root canal treatment severe periodontitis Furcation involvement8/31/2009 Endo 13 24
  • 25. Deep pocket and calcified Five years after root mesial root amputation8/31/2009 Endo 13 25
  • 26. Fractured tooth Extensive decayed tooth External root resorption Internal root resorption Lateral perforation8/31/2009 Endo 13 26
  • 27. Fractured tooth Extensive decayed tooth External root resorption Internal root resorption Lateral perforation8/31/2009 Endo 13 27
  • 28. Less than 1cm Reduced enamel epithelium Remnant of dental lamina Cell rest of Malassez Fifth to seventh decayed of life Male predominant Mandibular posterior region Unicystic or multicystic8/31/2009 Endo 13 28
  • 29. Discharging sinus After flap reflection8/31/2009 Endo 13 29
  • 30. After enucleation After three month8/31/2009 Endo 13 30
  • 31. Before two years After forming lesion8/31/2009 Endo 13 31
  • 32. After one year post operatively Radiologic ally clinically8/31/2009 Endo 13 32
  • 33. Reflected buccul flap Osseous window8/31/2009 Endo 13 33
  • 34. Repaired defect with freeze dried bone allograft and coveredwith a collagen membrane Before surgery8/31/2009 Endo 13 34
  • 35. At the time of surgery After 6 month8/31/2009 Endo 13 35
  • 36. After two years Before surgery8/31/2009 Endo 13 36
  • 37. Reflected full thickness muco- Pretreatment periosteal flap 7 mm pocket8/31/2009 Endo 13 37
  • 38. Oseouss defect filled with Collagen membranescancellous bovine bone (BioOss) (Ossix) over the BioOss8/31/2009 Endo 13 38
  • 39. Preoperative One year after treatment8/31/2009 Endo 13 39
  • 40. Preoperative One year after treatment8/31/2009 Endo 13 40

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