Endodontic-Periodontal Interrelationship in BDS 11136
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Questions and Answers

What is the main pathway for the ingress of irritants from necrotic pulp into peri-radicular tissue?

  • Apical foramen (correct)
  • Dentinal tubules
  • Palatogingival groove
  • Lateral (accessory) canals
  • Which of the following can carry toxic substances from pulp to periodontium or vice versa?

  • Apical foramen
  • Dentinal tubules
  • Lateral (accessory) canals (correct)
  • Palatogingival groove
  • What formed due to the breakdown of epithelial root sheath of Hertwig before root dentin formation?

  • Apical foramen
  • Dentinal tubules
  • Lateral (accessory) canals (correct)
  • Palatogingival groove
  • What carries irritants from necrotic pulp through the apical foramen into peri-radicular tissue?

    <p>Dentinal tubules</p> Signup and view all the answers

    Which non-physiological cause is associated with vertical root fracture?

    <p>Root perforations</p> Signup and view all the answers

    What is the main pathway for irritants if plaque covers the root and reaches the apical vessels?

    <p>Apical foramen</p> Signup and view all the answers

    What carries toxic substances between dental papilla and dental sac?

    <p>Lateral (accessory) canals</p> Signup and view all the answers

    What is the physiological cause associated with the breakdown of epithelial root sheath of Hertwig before root dentin formation?

    <p>Lateral (accessory) canals</p> Signup and view all the answers

    What is NOT a physiological cause associated with the intercommunication between pulpal and periodontal tissues?

    <p>Dentinal tubules</p> Signup and view all the answers

    What carries toxic substances from pulp to periodontium or vice versa?

    <p>Dentinal tubules</p> Signup and view all the answers

    What is formed due to the breakdown of epithelial root sheath of Hertwig before root dentin formation?

    <p>C- Lateral (accessory) canals</p> Signup and view all the answers

    What carries irritants from necrotic pulp through the apical foramen into peri-radicular tissue?

    <p>Dentinal tubules</p> Signup and view all the answers

    What is the primary aim of the lecture?

    <p>To explain the differential diagnosis of endodontic and periodontal lesions</p> Signup and view all the answers

    What does little or no pain indicate in the context of subjective signs and symptoms?

    <p>Periodontal disease</p> Signup and view all the answers

    What is a common radiographic finding associated with periodontal disease?

    <p>Generalized angular bone loss</p> Signup and view all the answers

    In the context of clinical tests, what does a positive response to percussion indicate?

    <p>Periodontal disease</p> Signup and view all the answers

    What is the aim of regenerative approach in the treatment alternatives?

    <p>To prevent apical migration of gingival epithelium</p> Signup and view all the answers

    What is the diagnosis for a 42-year-old male with acute localized pain and localized swelling in the left mandibular molar area, severe throbbing pain, and severe bone loss around the distal root of lower 2nd molar?

    <p>Primary periodontal disease with secondary endodontic involvement</p> Signup and view all the answers

    What is the cause of bone loss around the distal root in the previous case?

    <p>Inaccessible space between lower 7 &amp; 8</p> Signup and view all the answers

    What is the diagnosis for a 52-year-old male with recurrent local swelling and drainage near the maxillary right second premolar, widened apical periodontal ligament space, and deep periodontal defect interproximally on the distal aspect?

    <p>Concomitant endo-perio lesion</p> Signup and view all the answers

    What is the origin of a draining sinus tract near the maxillary right second premolar in the previous case?

    <p>Trauma-induced sinus tract</p> Signup and view all the answers

    What is one of the educational aims of this lecture?

    <p>To explain how to differentiate between caries and periodontal lesions</p> Signup and view all the answers

    What do widened apical periodontal ligament space and deep periodontal defect indicate in a radiograph?

    <p>Development of periapical lesion</p> Signup and view all the answers

    Which condition results in an artificial communication between the root canal system and the periodontium?

    <p>Root perforations</p> Signup and view all the answers

    What is the classical sign of a longstanding root fracture, usually in the mesiodistal plane?

    <p>J-shaped radiographic lesion</p> Signup and view all the answers

    What condition leads to apical migration of the epithelial attachment due to progressive periodontal disease?

    <p>Primary periodontal lesions</p> Signup and view all the answers

    What characteristic is associated with primary endodontic lesions involving a nonvital tooth?

    <p>Localized osseous destruction</p> Signup and view all the answers

    What is the treatment for primary endodontic lesions without any periodontal involvement?

    <p>Root canal treatment alone</p> Signup and view all the answers

    Which type of lesion begins in the sulcus and migrates to the apex due to plaque accumulation?

    <p>Primary periodontal lesions</p> Signup and view all the answers

    What is a characteristic feature of true combined lesions?

    <p>Localized osseous destruction</p> Signup and view all the answers

    What may mimic clinically the presence of a periodontal abscess in a nonvital tooth with a chronic apical lesion?

    <p>Primary endodontic lesions</p> Signup and view all the answers

    What is the treatment for primary periodontal lesions?

    <p>Periodontal treatment alone</p> Signup and view all the answers

    What happens when pulp becomes involved in primary periodontal with secondary endo involvement?

    <p>Deep pockets &amp; extensive periodontal disease</p> Signup and view all the answers

    What characterizes concomitant pulp and periodontal lesions?

    <p>Both diseases exist but no evidence that either disease has influenced the other.</p> Signup and view all the answers

    What results from an acute exacerbation of a chronic apical lesion in a nonvital tooth?

    <p>Retrograde periodontitis.</p> Signup and view all the answers

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