Endo-Perio Lesions- FINAL Flashcards
Caries affecting the pulp and subsequent periodontal involvement:
Primary endodontic
Periodontal destruction that THEN affects the pulp:
Primary periodontal
Anatomic risk factors that affect the prognosis of endo-perio lesions include:
- root grooves
- furcation involvement
- PFM crowns & active carious lesions
What are the diagnosis options for endo-perio lesions?
- Hopeless (usually due to trauma/iatrogenic factors & leads to extraction)
- Poor
- Favorable
Endo-perio lesion WITH root damage:
- root fracture or crack
- root canal or chamber perf
3.external root resorbtion
List the physical routes of communication in a perio-endo lesion:
- apical foramen
- lateral (accessory) canals
- dentinal tubules
- iatrogenic
Osseous lesions of ENDO origin can be expected to:
heal completely
Osseous lesions of PERIO origin are usually:
not reversible and depend on defect morphology for outcome of treatment
T/F: The greater the periodontal involvement, the WORSE the prognosis
true
What is the top differential diagnosis for a PERIO-ENDO lesion?
incomplete tooth fracture
- characterized by radiogrpahical isolated vertical bone loss
- teardrop radiolucency
- can mimic symptoms of perio and endo
- may be sen as incomplete crown, root, or tooth fracture