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 (B)</p> Signup and view all the answers

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

<p>Root perforations (B)</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 (D)</p> Signup and view all the answers

What carries toxic substances between dental papilla and dental sac?

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

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

<p>Dentinal tubules (D)</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 (C)</p> Signup and view all the answers

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

<p>Dentinal tubules (B)</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 (D)</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 (D)</p> Signup and view all the answers

What is a common radiographic finding associated with periodontal disease?

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

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

<p>Periodontal disease (A)</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 (A)</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 (D)</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 (A)</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 (D)</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 (B)</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 (D)</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 (B)</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 (D)</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 (A)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Root canal treatment alone (C)</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 (B)</p> Signup and view all the answers

What is a characteristic feature of true combined lesions?

<p>Localized osseous destruction (B)</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 (C)</p> Signup and view all the answers

What is the treatment for primary periodontal lesions?

<p>Periodontal treatment alone (B)</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 (C)</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. (A)</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. (A)</p> Signup and view all the answers

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