Keterangan
Endo perio lesions can be caused by various factors, including periodontal disease, trauma, occlusal forces, and dental caries. The diagnosis of endo perio lesions requires a thorough examination that includes clinical and radiographic evaluation, as well as pulp vitality testing. The primary goal is to eliminate the infection and inflammation from both the endodontic and periodontal systems.
Ringkasan
- Endo-perio lesions require a collaborative approach involving endodontists, periodontists, and prosthodontists for accurate diagnosis and treatment planning. Incidence rates show that endodontic problems are more frequently the primary issue, but proper diagnosis is crucial for treatment success. Mobility grade strongly influences prognosis, with high mobility suggesting a poorer outcome, regardless of endodontic quality.
- A classification for endo-perio lesions separates cases with and without root damage. Root damage (fractures, resorption) affects prognosis and treatment options. Lesions without root damage depend on the patient's overall periodontal health. Deep periodontal pockets involving multiple surfaces also indicate a worse prognosis.
- Various pathways exist for communication between the pulp and periodontium, including developmental anomalies like accessory canals and pathological processes like vertical root fractures. Iatrogenic factors, such as accidental perforations during endodontic procedures, can also contribute. Distinguishing pulpal pain (sharp, throbbing) from periodontal pain (dull) aids in identifying the origin of the problem.
- Treatment planning depends on whether the primary issue is endodontic or periodontal. Primarily endodontic cases necessitate proper isolation and irrigation. Primarily periodontal cases call for scaling and root planing. Combined cases require integrated endodontic and periodontal therapy, potentially including regenerative procedures with bone grafts and membranes. Simultaneous work by endodontists, periodontists, and prosthodontists is more effective than sequential treatments.
- Bio ceramic materials are preferred in endo-perio cases. In perio treatment cases, elevating the flap, bone grafting, placing a membrane, and suture it back is a common process. A variety of bone graft materials is available; hydroxyapatite crystals and allografts are recommended. After the bone graft has been performed, a collagen membrane or PRP or PRF can be used.
Contoh Sertifikat
Tentang Pembicara
Dr. Ambika Sigadam
BDS, MDS (Conservative Dentistry) MDS Conquer Hospital ,Hyderabad
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