Flashcards in 06 Ortho, Endo and Restorative considerations Deck (5):
Benefits of Ortho in relationship with perio
These provide better access for plaque removal and can correct/align the occlusal forces properly
-can create a more favorable crown:root ratio (intrusion)
What perio must be done before ortho therapy?
-periodontal therapy must remove deposits and resolve marginal inflammation prior to ortho therapy
What are the types of Perio-Endo Lesions?
1. Endodontic problem with fistulization from the tooth's apex. Pulpal infection can spread through accessory canals along root surface including furcation.
2. A periodontal pocket can deepen to the apex and secondarily involve the pulp
3. periodontal pocket can infect the pulp thru an accessory canal and this can result in a periapical lesion
4. Two independent lesions, periapical and periodontal can coexist and eventually fuse
Prognosis of combined perio-endo lesions:
-endodontic therapy is highly predictable
-ultimately the prognosis depends on the ability to manage the pd defect
-chronic pd component decreases prognosis
-Acut pd component increases prognosis