Endodontic-Periodontic Lesion, Diagnosis and Management
CE Hours: 1.25
The relationship of the pulp and the periodontium is dynamic. Multiple anatomical and iatrogenic pathways can communicate these tissues in both health and disease. These pathways include furcation canals, dentinal cracks, and vertical root fractures. In other cases, a cemental root fracture (cemental tear) can mimic periapical pathosis. It is generally agreed that the pulp and its necrotic content affect the periodontal tissues. A controversy exists over the ability of periodontal disease to affect the dental pulp. During this presentation, we will review diagnostic techniques, the prognosis, and treatment alternatives for endo/perio lesions.
Learning Objectives:
- Evaluate the characteristics and clinical presentation of endo-perio lesions.
- Discuss clinical presentation of cracked teeth, vertical root fractures and cemental tears.
- Discuss the endodontic prognosis in cases with complex endo-perio involvement.
Key:
Ronald Ordinola-Zapata, DDS, MS, PhD
Dr. Ronald Ordinola Zapata is currently Associate Professor at the Endodontic Division, University of Minnesota School of Dentistry and a Diplomate of the American Board of Endodontics. Dr. Zapata received his master's and doctorate degrees from the University of Sao Paulo in Brazil. He completed his Endodontic residency program at the IB Bender Endodontic Division, Albert Einstein Medical Center in Philadelphia, as well as a Certificate in Clinical Research at the University of Minnesota's School of Public Health. In his academic career, Dr. Zapata has published more than 100 manuscripts in peer-reviewed journals and lectured internationally in more than 18 countries. Dr. Zapata also serves as Associate Editor of the Journal of Endodontics (USA), and is a former Associate Editor of the International Endodontic Journal (2015-2024).
Disclosure(s): No financial relationships to disclose