8. Endo-Perio Relationship Flashcards
Endodontics – Periodontics
____ Relationship
Pulp + Periodontium
____ Unit
dynamic
biological
Function of a tooth depends on the health and vitality of the ____ and not on the status of the ____
periodontium
pulp
Classification
1. ____ Endodontic Lesion
2. ____ Endodontic Lesion with ____ Periodontal Involvement
3. ____ Periodontal Lesion
4 ____ periodontal lesion w/ ____ Endodontic Involvement
5. “____” Combined Endodontic and Periodontal Involvement
primary primary seondary primary primary secondary true
Primary Endodontic Lesion Characteristics • Tooth \_\_\_\_ • Swelling • \_\_\_\_ at the apex • Percussion sensitivity • \_\_\_\_ ! Gingival Sulcus or Fistula
mobility
radiolucency
sinus tract
Primary Endodontic Lesion Diagnosis • \_\_\_\_ (thermal and electric) • Tracing of a sinus tract • Minimal to no \_\_\_\_ • Rapid onset • \_\_\_\_ pulp treatment
pulp test
calculus
previous
Primary Endodontic Lesion
Treatment / Prognosis
• ____ Treatment
• ____ Prognosis
root canal
excellent
Primary Endodontic Lesion with Secondary Periodontal Involvement
Characteristics
- ____-standing pulpal pathosis
- Periapical drainage becomes ____
- Superimposition of ____
- Localized periodontal disease
long
chronic
plaque/calculus
Primary Endodontic Lesion with Secondary Periodontal Involvement
Diagnosis
• Pulpal ____/necrosis
• Periodontal ____
• Radiographic evidence of ____ defects
inflammation
inflammation
angular
Primary Endodontic Lesion with Secondary Periodontal Involvement
Treatment / Prognosis • \_\_\_\_l treatment • \_\_\_\_ treatment • Prognosis dependent on ability to treat both \_\_\_\_ entities • Patient \_\_\_\_
root canal
periodontal
disease
compliance
Primary Periodontal Lesion Characteristics • Normal \_\_\_\_ • Generalized bone loss • \_\_\_\_/plaque • Soft-tissue inflammation • \_\_\_\_-based pockets
pulp test
calculus
broad
Primary Periodontal Lesion Diagnosis • Oral \_\_\_\_/probing • Radiographs • \_\_\_\_ • Patient factors
exam
pulp testing
Primary Periodontal Lesion
Treatment / Prognosis
• Extent of ____
• Patient ____
• ____ or extraction
disease
compliance
surgery
Primary Periodontal Lesion with Secondary Endodontic Involvement
Characteristics • Deep \_\_\_\_ pockets • History of extensive periodontal disease • \_\_\_\_ pulpal pathosis • Tooth often has \_\_\_\_ restoration
periodontal
irreversible
large
Primary Periodontal Lesion with Secondary Endodontic Involvement
Diagnosis
• History of ____ progression
• Probing/pulp testing
• ____ changes
disease
radiographic
Radiographic Evidence • Apical progression exposes pulp to the oral environment via: \_\_\_\_ Lateral canals \_\_\_\_
apical foramen
dentinal tubules
