endoperio

1. Clasificación de las
Lesiones
Endoperiodontales
Od. Valeria Gutierrez G.
Dra. Martha Fereira
Dra. Maria Eugenia Rojas
Universidad de Zulia.
Facultad de Odontología.
División de Estudios para Graduados.
Programa de Periodoncia.

2. Clasificación - Endodoncia

3. Cronología de las Clasificaciones
1972 - Simon et al.
Simon, J. H. S., Glick, D. H., & Frank, A. L. (1972). The Relationship of Endodontic-Periodontic Lesions. Journal of Periodontology, 43(4), 202–208. doi:10.1902/jop.1972.43.4.202
Lesiones Endodónticas Lesiones Periodontales
Lesiones
Endodónticas
con
compromiso
Periodontal
secundario
Lesiones
Periodontales
con
compromiso
Endodóntico
secundario
“Verdaderas”
Lesiones
Combinadas

4. Cronología de las Clasificaciones
1972 - Simon et al.
Simon, J. H. S., Glick, D. H., & Frank, A. L. (1972). The Relationship of Endodontic-Periodontic Lesions. Journal of Periodontology, 43(4), 202–208. doi:10.1902/jop.1972.43.4.202

5. Cronología de las Clasificaciones
1972 - Simon et al.
● (a) La vía de la fístula es evidente a través del ligamento periodontal desde el
ápice o un canal lateral,
● (b) La fístula a través del vértice o de un conducto lateral puede causar
afectación de la bifurcación
● (c) Lesión endodóntica primaria con afectación periodontal secundaria.
Simon, J. H. S., Glick, D. H., & Frank, A. L. (1972). The Relationship of Endodontic-Periodontic Lesions. Journal of Periodontology, 43(4), 202–208. doi:10.1902/jop.1972.43.4.202
Lesiones Endodónticas

6. Cronología de las Clasificaciones
1972 - Simon et al.
Simon, J. H. S., Glick, D. H., & Frank, A. L. (1972). The Relationship of Endodontic-Periodontic Lesions. Journal of Periodontology, 43(4), 202–208. doi:10.1902/jop.1972.43.4.202
● (d) Esta es la progresión de la periodontitis a la afectación apical.
● (e) Lesión periodontal primaria con endodoncia secundaria.
Lesiones Periodontales
● (f) Las dos lesiones separadas se dirigen a una coalescencia
Lesiones Combinadas “Verdaderas”

7. Cronología de las Clasificaciones
1996 – Torabinejad y Trope
● Origen endodóntico
● Origen periodontal
● Lesión combinada endo-perio
● Lesiones endodónticas y periodontales separadas
● Lesiones con comunicación
● Lesiones sin comunicación
M. Torabinejad and M. Trope, “Endodontic and periodontal interrelationships,” in Principles and Practice of Endodontics, R. E.Walton and M. Torabinejad, Eds., 1996.
1999 - Armitage
● Lesión endodóntica-periodontal.
● Lesión periodontal-endodóntica.
● Lesión combinada.

8. Cronología de las Clasificaciones
1. Enfermedad Periodontal Retrógrada.
● Lesión endodóntica primaria con drenaje a través
del ligamento periodontal.
● Lesión endodóntica primaria con afectación
periodontal secundaria
2. Lesión periodontal primaria.
3.Lesión periodontal primaria con afectación endodóntica
secundaria.
4.Lesión endodóntica-periodontal combinada.
5.Lesiones periodontales iatrogénicas.
● Perforaciones de raíz.
● Fuga coronal
● Lesiones o traumatismos dentales.
● Productos Químicos Usados en Odontología.
● Fracturas radiculares verticales.
Khalid S. Al-Fouzan. A New Classification of Endodontic-Periodontal Lesions. International Journal of Dentistry. Volume 2014, Article ID 919173, 5 pages. http://dx.doi.org/10.1155/2014/919173
2014 – Al-Fouzan

9. Clasificación - Periodoncia

10. Clasificación de las lesiones endodóntico-periodontales (LEP).
Adaptado de Herrera y cols. (2018).
LEP con daño
radicular
Fractura o grieta radicular
Perforación de conducto radicular o cámara pulpar
Reabsorción radicular externa
LEP sin daño
radicular
En pacientes con
periodontitis
Grado 1 – bolsa periodontal estrecha y profunda en 1 superficie dentaria
Grado 2 – bolsa periodontal ancha y profunda en 1 superficie dentaria
Grado 3 – bolsas periodontales profundas en más de 1 superficie dentaria
En pacientes sin
periodontitis
Grado 1 – bolsa periodontal estrecha y profunda en 1 superficie dentaria
Grado 2 – bolsa periodontal ancha y profunda en 1 superficie dentaria
Grado 3 – bolsas periodontales profundas en más de 1 superficie dentaria
David Herrera y cols. La nueva clasificación de las enfermedades periodontales y periimplantarias. Periodoncia Clínica. Revista de la Sociedad Española de Periodoncia. Época I, año IV, no.11. Noviembre 2018.

11. Our center Key numbers
Patient care Accomplishments
01
02
You can describe the topic
of the section here
03
You can describe the topic
of the section here
04 You can describe the topic
of the section here
TABLE OF CONTENTS
You can describe the topic
of the section here

12. Mission Vision
Mercury is the closest planet to
the Sun and the smallest one in
the Solar System—it’s only a bit
larger than our Moon. The
planet’s name has nothing to do
with the liquid metal
Venus has a beautiful name and
is the second planet from the Sun.
It’s terribly hot—even hotter than
Mercury. It’s the second-brightest
natural object in the night sky
after the Moon

13. OUR CENTER
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15. Despite being red, Mars
is actually a cold place
OUR CLINICS
Mars
Earth is the third planet
from the Sun
Earth
Venus is the second
planet from the Sun
Venus

16. Key
NUMBERS
02
You can enter a subtitle
here if you need it
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17. KEY NUMBERS
5,000
This is the number of patients
receiving treatment so far
100,000
This is the number of patients
we had last year
50,000
This is the number of total
visitors we had last month
20,000
This is the number of patients
we had last month

18. Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
OUR STATISTICS
Mercury is the
closest planet to
the Sun
Mercury
18%
Despite being red,
Mars is actually a
cold place
Mars
15%
Jupiter is the
biggest planet of
them all
Jupiter
42%
The Earth is the
third planet from
the Sun
Earth
25%

21. A BRIEF STORY
Mercury is the closest planet to the Sun
and the smallest one in the entire Solar
System. This planet's name has nothing
to do with the liquid metal, since
Mercury was named after the Roman
messenger god. Despite being closer to
the Sun than Venus, its temperatures
aren't as terribly hot as that planet's

22. MILESTONES REACHED
2XXX
Mercury is the
closest planet to
the Sun
Mercury
2XXX
The Earth is the
third planet from
the Sun
Earth
2XXX
Jupiter is the
biggest planet of
them all
Jupiter
2XXX
Despite being red,
Mars is actually a
cold place
Mars

23. OUR PROCESS
Jupiter is the biggest
planet of them all
Step 1
Despite being red,
Mars is cold
Step 2
The Earth is the third
planet from the Sun
Step 3
Saturn was named
after a Roman god
Step 6
Mercury is actually a
small planet
Step 5
Neptune is very far
away from the Sun
Step 4
Laser
removal

24. PATIENT CARE
Mercury is the closest planet to the
Sun and the smallest one in the
Solar System—it’s only a bit larger
than the Moon. The planet’s name
has nothing to do with the liquid
metal, since Mercury was named
after the Roman messenger god

25. Jupiter Mercury Venus Mars
Area 1 ✔ ✖ ✔ ✔
Area 2 ✔ ✖ ✔ ✖
Area 3 ✖ ✔ ✖ ✔
Area 4 ✖ ✔ ✔ ✔
AREAS WE COVER

26. Mercury Neptune Mars
SERVICES
It’s the closest planet
to the Sun and also the
smallest one in our
Solar System
The farthest planet
from the Sun and the
fourth-largest in our
Solar System
Despite being red,
Mars is a cold place,
not hot. It’s full of iron
oxide dust

27. AWESOME
WORDS
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28. A PICTURE
IS WORTH A
THOUSAND
WORDS
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29. Mercury is the closest planet to
the Sun and the smallest one in
the Solar System
95%

30. AN IMAGE
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Images reveal large amounts of
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Your audience will appreciate it

31. Mars
Mercury
Venus
Saturn
INNOVATIONS
Despite being red, Mars
is a cold place, not hot.
It’s full of iron oxide dust
Venus has a beautiful
name and is the second
planet from the Sun
It’s the closest planet to
the Sun and the smallest
in the Solar System
Saturn is a gas giant
and was named after
the god of wealth

32. Mercury Neptune
Venus Mars Saturn
Jupiter
IMPROVEMENT MEASURES
It’s the closest planet
to the Sun and the
smallest in the System
Jupiter is a gas giant
and the biggest
planet in the Solar
System
It has a beautiful
name. It’s the second
planet from the Sun
Despite being red,
Mars is cold. It’s full of
iron oxide dust
Saturn is a gas giant
and was named after
the god of wealth
It's the fourth-largest
planet by diameter in
the Solar System

33. TESTIMONIALS
Diane James, 58
“Neptune is the fourth-largest planet by
diameter in the entire Solar System”
“Mercury is the closest planet to the Sun
and the smallest one in the Solar System”
“Saturn is the ringed planet. It’s composed
mostly of hydrogen and helium”
Jenna Doe, 25
Paul Brown, 36

34. OUR TEAM
Susan Bones Timmy Jimmy Sarah James
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about this person here
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about this person here
You can speak a bit
about this person here

35. AWARDS
Despite being red, it’s a
cold place, not hot. It’s
full of iron oxide dust
Award 1
2XXX
It's the fourth-largest
planet by diameter in
the Solar System
Award 2
2XXX
Jupiter is a gas giant
and the biggest planet
in the Solar System
Award 3
2XXX

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