Endo-Perio Lesions- FINAL Flashcards

1
Q

Caries affecting the pulp and subsequent periodontal involvement:

A

Primary endodontic

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2
Q

Periodontal destruction that THEN affects the pulp:

A

Primary periodontal

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3
Q

Anatomic risk factors that affect the prognosis of endo-perio lesions include:

A
  1. root grooves
  2. furcation involvement
  3. PFM crowns & active carious lesions
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4
Q

What are the diagnosis options for endo-perio lesions?

A
  1. Hopeless (usually due to trauma/iatrogenic factors & leads to extraction)
  2. Poor
  3. Favorable
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5
Q

Endo-perio lesion WITH root damage:

A
  1. root fracture or crack
  2. root canal or chamber perf
    3.external root resorbtion
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6
Q

List the physical routes of communication in a perio-endo lesion:

A
  1. apical foramen
  2. lateral (accessory) canals
  3. dentinal tubules
  4. iatrogenic
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7
Q

Osseous lesions of ENDO origin can be expected to:

A

heal completely

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8
Q

Osseous lesions of PERIO origin are usually:

A

not reversible and depend on defect morphology for outcome of treatment

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9
Q

T/F: The greater the periodontal involvement, the WORSE the prognosis

A

true

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10
Q

What is the top differential diagnosis for a PERIO-ENDO lesion?

A

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
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11
Q
A
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