SP-28 The Endodontic-periodontal Interface: Treatment Considerations of a Clinical Dilemma
CE Hours: 0.75
Description: The pulp and periodontium have embryonic, anatomic, and functional inter-relationships. The simultaneous existence of combined endodontic-periodontal lesions either with or without root damage is a clinical dilemma that can complicate diagnosis, treatment planning as well as affect prognosis . These lesions could be better classified according to root alterations that have a direct impact on their treatment, such as the presence of fractures, perforations and external root resorption, furcation involvement, anatomical variations and the extent of periodontal destruction around the affected teeth. Management of combined endodontic-periodontal lesions can be challenging especially when severe destruction of the surrounding periodontal tissues is noted. A CBCT scan would be crucial to confirm the extent of both lesions and their possible communication and reveal root anatomic factors that may predispose to a compromised clinical outcome. Understanding the complex pathogenesis of both lesions can determine the therapeutic approach for a successful regenerative treatment outcome.
Learning Objectives:
- Contrast classifications of endodontic-periodontal lesions based on root alterations and their effect on prognosis
- Discuss the appropriate sequence of therapeutic approaches to treat endodontic-periodontal lesions
- Review proper diagnostic tools to clinically assess combined endodontic-periodontal lesions
Key:
Complete
Next
Failed
Available
Locked
Sami M.A. Chogle, B.D.S., D.M.D., M.S.D.
Dr. Chogle received a Bachelor of Dental Surgery from Dharwad University in India in 1989; Specialty Certificate in Endodontics and Master of Science in Dentistry from Case Western Reserve University (CWRU) School of Dental Medicine in Cleveland, Ohio, in 2000; and a DMD Degree from CWRU School of Dental Medicine in 2003. Dr. Chogle is a diplomate of the American Board of Endodontics. Dr. Chogle has served as Associate Professor and Director of the Advanced Specialty Education Program in Endodontics at the Boston University Institute for Dental Research and Education (BUIDRE) Dubai (2009-2012). He previously served as Assistant Professor and Director of Undergraduate Endodontics at CWRU School of Dental Medicine (2000-2009). Dr. Chogle formerly served as the Director of the Advanced Specialty Education Program in Endodontics at the Henry M Goldman School of Dental Medicine, Boston University from 2012-17 and is the Chair and Program director since 2017.
Speaker Disclosure
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
Pinelopi Pani, D.D.S., CAGS, M.S.
Pinelopi Pani, DDS, CAGS, MS is a Periodontist and a Clinical Associate Professor in the Department of General Dentistry Division of Periodontics at Boston University Henry M. Goldman School of Dentistry. She is also practicing as a Periodontist in the Boston University Dental Health Center. She received her Dental degree from the National and Kapodistrian University of Athens, School of Dentistry in Greece. She completed her post-doctoral training in Periodontology, receiving both a Certificate for Advanced Graduate Studies and a Master of Science from Tufts University School of Dental Medicine. She is a Diplomate of the American Academy of Periodontology, an ITL scholar of the Academy for Academic Leadership and a fellow of both the International College of Dentists and the American College of Dentists. She has received several distinctions, such as the F. Mitsis Award of Excellence by the Hellenic Society of Periodontology, the Faculty Appreciation Award by Boston University Henry M. Goldman School of Dentistry, the Massachusetts Dental Society 10 Under 10 Award, and the American Academy of Periodontolog Excellence in teaching and mentoring award.
Speaker Disclosure
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
