The periodontal-endodontic continuum TEST #2 Flashcards

1
Q

What forms the periodontal-endodontic lesion?

A
  • Develops by extension apically combiningg with an existing periapical lesion
  • Endodontic lesion combining with an existing periodontal lesion
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2
Q

If the pulp is alive should it mess up the periodontium?

A

-No

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3
Q

What is the essential difference between the periodontal or endodontic lesion?

A

-The respective source of infection

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4
Q

What are two ways that abscesses may drain?

A
  • Sinus tract

- Osseous fistulation

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5
Q

What is essential for successful healing of a periodontal-endodontic lesion?

A

-Both periodontal and endodontic treatment

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6
Q

Can pulpal disease initiate or perpetuate periodontal disease?

A

-Yes

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7
Q

Does periodontal disease initiate pulpal disease?

A

-No

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8
Q

What is a guarded prognosis?

A

-Hopeless

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9
Q

What is the most guarded prognosis?

A

-True combined lesions

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10
Q

If you have a combined perio-endo lesion what will adequate endo therapy do?

A

-Fix the endodontic problem

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11
Q

In combined disease what is the prognosis dependent upon?

A

-Usually the severity and extent of the periodontal lesion and efficacy of perio therapy

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12
Q

In perio-endo lesions what treatment is more predictable of the two?

A

-Endodontic treatment

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13
Q

Periapical lesions extend in which directions?

A

-Apically or coronally

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14
Q

Whereas periodontal lesions tend to extend only what direction?

A

-Apically

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15
Q

What does the dental papilla become?

A

-Dental pulp

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16
Q

Tissues of the periodontium develop from what?

A

-Dental follice

17
Q

What are three ways the periodontium communicates with the pulp?

A
  • Apical foramen
  • Lateral canals
  • Dentinal Tubules
18
Q

What is the main pathway between the pulp and the PDL?

A

-Apical foramen

19
Q

Where do dentinal tubules extend to and from?

A
  • To the CDJ

- From the pulp

20
Q

What does a vertical root fracture mimic?

A

-Periodontal problems

21
Q

What is the second main communicating pathway in endo?

A

-Lateral canals

22
Q

What is the minor communicating endo pathway?

A

-Dentinal tubules

23
Q

What forms lateral canals?

A

Epithelial root sheath breaks down before root dentin is formed

24
Q

When can the periodontium infect a healthy pulp?

A

-When the diseased periodontium progressed to the apical area

25
Q

The molars have furcation canals at what percent of the time?

A

50% (really 46%)

26
Q

What is the etiology of endo pulpal lesions?

A

-Pulp infection

27
Q

What is the etiology of periodontal lesions?

A

-Periodontal infection

28
Q

What is the vitality of a tooth with a endo pulpal lesions?

A

-Non vital

29
Q

What is the vitality of a tooth with perio lesions?

A

-Vital

30
Q

What is the primary cause of periodontal lesions?

A

-Plaque and calculus

31
Q

What type of inflammation do you see with pulpal lesions?

A

-Acute

32
Q

What type of inflammation do you see with periodontal lesions?

A

-Chronic

33
Q

What type of pockets do you see in pulpal lesions?

A
  • Single

- Narrow

34
Q

What type of pockets do you see in periodontal lesions?

A
  • Wide

- Coronally

35
Q

What type of radiographic pattern do you see in pulpal lesions?

A

-Localized

36
Q

What type of radiographic pattern do you see in periodontal lesions?

A

-Generalized

37
Q

What type of bone loss d you see in pulpal lesions?

A

-Wider apically

38
Q

What type of bone loss do you see in periodontal lesions?

A

-Wider cervically (CEJ)

39
Q

What type of lesion do you see vertical bone loss?

A

-Periodontal