kehilangan perlekatan klinis. Klasifikasi Periodontitis: 1. Chronic Periodontitis 2. Aggressive Periodontitis 3. Periodontitis as a Manifestation of Systemic. Klasifikasi periodontitis berdasarkan manifestasi klinisnya Klasifikasi periodonitas menurut Goldman. Schluger. Difus c.. dan Fox (): 1. Traumatik oklusi c. The simultaneous existence of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning.

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This paper aims to discuss a modified clinical classification to be considered for accurately diagnosing and treating endo-perio lesion.

Taking into consideration all these factors and the divergences regarding the origin and direction that these infections developed, the new modified classification of these lesions periidontitis been justified.

This suggests that one disease may be the result or cause of the other or even originated from two different and independent processes which are associated with their advancement [ 1 ].

The nature of that pain is often the first clue in determining the etiology of such a problem. The periodontal disease has gradually spread along the root surface towards the apex. Moreover, the dentinal fluids move towards the exterior, thereby reducing the diffusion of the harmful products of the bacteria on the exposed dentin.

It is known that both the pulp and the periodontium are closely linked to each other, through the apical klasifikwsi, accessory canals, and dentinal tubules of the root, and one can interfere on the integrity of the other.


Lesi rongga mulut menjadi sangatsensitif6. The potential for replacement resorption was also associated with periodontal wound healing. Madison and Wilcox [ 13 ] found that exposure of root canals to the oral environment leads to coronal leakage, and in some cases along the entire length of the root canal. When the pocket is probed, it is narrow and lacks width. The periodontal-endodontic lesions have been characterized by the involvement of the pulp and periodontal disease in the same tooth.


It is highlighted that the root planning and scaling may result in the rupture of the vessels and destruction of the neurovascular bundle in the lateral canals, provoking a reduction of the blood supply and consequently leading to pulp alterations.

Published on Nov View 14 Download This makes it difficult to diagnose because a single lesion may present signs of both endodontic and periodontal involvement. Abses pada gingiva mulai terbentuk Gigi terlihat lebih panjang akibat gingiva yang mulai mengalami resesi Gigi depan mulai bergeser dan terbentuk diastema Napas berbau, rasa tidak enak dalam mulut Poket antara gigi dan gingiva kira-kira sedalam mmc.

Gingiva klasifiksai berdarah saat menyikat gigi Gingiva mengalami inflamasi dan peka jika disentuh, Gingiva bengkak, Gingiva berwarna kemerahan, Kemungkinan napas berbau dan mulut terasa tidak enak. In such cases, it is advisable to treat both tissues [ 23 ].

International Journal of Dentistry

They may take on many shapes but generally can be classified as enamel fractures, crown fractures without pulp involvement, crown fractures with pulp involvement, crown-root fracture, root fracture, luxation, and avulsion [ 28 ].

Penyakit gingiva yang dimodifikasi oleh faktor sistemika. The interrelationship between periodontal and endodontic disease has always aroused k,asifikasi, queries, and controversy. PeriodontitisPeriodontitis terbagi menjadi 3 tahap, yaitu early periodontitis, moderate periodontitis, dan advanced periodontitis. Vertical root fractures are caused periodntitis trauma and have been reported to occur in both vital and nonvital teeth.

It is the leakage of bacterial elements from the oral environment along the margin of the restoration to the endodontic filling. Terjadi pembengkakan yang sangat besar periodoontitis gigitertutup gingiva4. In reality, it is a sinus tract from pulpal origin that opens through the periodontal ligament area.

A New Classification of Endodontic-Periodontal Lesions

Tetapi pada leukimia kronisjarangGambaran gingiva pada leukimia akut: The authors declare that there is no conflict of interests regarding the publication of this paper. Differentiating between a periodontal periodonttitis an endodontic problem can be difficult. Periodontal diagnoses and classification of periodontal diseases Documents.


C Dental Injuries or Trauma. Improper manipulation of endodontic instruments can also lead to a perforation of the root. Etiologic factors such as bacteria, fungi, and viruses as well as other various contributing factors such as trauma, root resorptions, perforations, and dental malformations also play an important role in the development and progression of such lesions.

If a draining sinus tract through the periodontal ligament is present before root canal treatment, resolution of the probing defect is expected.

It is known that the main cause of the periodontal lesions is the presence of the bacterial plaque, formed by aerobic and anaerobic microorganisms [ 9 — 12 ]. Classification of Periodontal Diseases and Conditions Documents. The periodontal-endodontic lesions have received several classifications, among which is the classification of Simon et al.

Knowledge of these disease processes is essential in coming to the correct diagnosis.

This paper is an attempt to provide a rational classification to the endo-perio question in order to scientifically diagnose and treat these lesions with predictable success. Abstract The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and klasifikasl. Some authors such klsifikasi Rubach and Mitchell [ 18 ] affirmed that the periodontal disease may affect the pulp when there is exposure of the accessory canals through the apical foramina and the canaliculi in the furcation.

Subscribe to Table of Contents Alerts. Studies have indicated that this factor may be an important cause of endodontic treatment failure [ 25 — 27 ].