2) Prognosis of the tooth was established as guarded. Endodontic treatment, combined with calcium hydroxide paste dressing, interrupts the inflammatory process of resorption and allows periradicular recovery. The dimensions determined to be of importance to gain an overall perspective of the individual relative tooth prognosis were the periodontal, restorative, endodontic… classification as “healed” ... (Reprinted with permission from Friedman S. Prognosis of initial endodontic therapy. Types of lesions we can have include: This can present in an acute or a chronic form and is classified based on their signs and symptoms. Methods . Large perforation – it occurs mainly during post-preparation with significant tissue damage and obvious It is established after the diagnosis is made and before the treatment plan is established. Luxation injuries can be further classified as intrusive, extrusive, and/or lateral; this categorization further facilitates the mode of splinting and repositioning utilized during treatment. The endodontic prognosis of a tooth in isolation of the other categories is largely linked to the difficulty of the case at hand [19]. e di erential diagnosis of endodontic and periodontal diseases can sometimes be di cult but it is of vital impor-tance to make a correct diagnosis so that the appropriate treatment can be provided. Classification of endodontic-periodontal lession Simon, Glick & Frank (1972) [10] classified endodontic-periodontal lesion, based upon origin of the disease and its spread, as following: 1. Small perforation - these are smaller than size 20 endodontic instruments because the mechanical damage to tissue is minimum, and the due to the ease of sealing, they have a good prognosis. Definitions. Based on these classifications, the most widely used classification of endodontic-periodontal lesions is the one that has been classified by Simon et al. Endodontic Topics2:59-88, 2002.) 7 Clinical attachment loss has a demonstrably negative impact on the prognosis of endodontically treated teeth. To have the best prognosis, clinician must refer the case to various areas of specialization, to perform restorative, endodontic and periodontal therapy either singly or in combination [1]. This paper reviews the relevant literature and proposes a new classification for concurrent endodontic and periodontal diseases. Accurate classification of the lesion is the first step in helping the clinicians to design the most appropriate treatment strategy. It is based on a visual scale of periapical periodontitis severity and was built upon a classical study of histological-radiological correlations [32]. The aim of this study is to investigate the factors affecting the prognosis of endo-periodontal lesions. Pulpal healing is essential for the endodontic prognosis of a reimplanted tooth, as well as for its periodontal healing. 2. Primary endodontic lesion (when the lesion is entirely endodontic in origin) 2. The prognosis is a prediction of the probable course, duration, and outcome of a disease based on a general knowledge of the pathogenesis of the disease and the presence of risk factors for the disease. Classification of endodontic-periodontal lesions. Endodontic-periodontal lesions present challenges to the clinician as far as diagnosis and prognosis of the involved teeth are concerned. Appearing in a future issue, Part 2 will focus on competence in treatment planning and prognosis of endodontic therapy. Classification and prognosis evaluation of individual teeth – a comprehensive approach. Primary endodontic lesion 2. Abstract. The differential diagnosis of endodontic and periodontal diseases can sometimes be difficult but it is of vital importance to make a correct diagnosis so that the appropriate treatment can be provided. 10 Reviewed studies, therefore, must be Classification of root perforations by Fuss & Trope: Fresh perforation treated immediately or shortly after occurrence under aseptic conditions, Good Prognosis. Extraction may be considered as the primary treatment option. Prognosis of initial endodontic therapy SHIMON FRIEDMAN ‘Prognosis’ is the forecast of the course of a disease. Endodontic assessment revealed a localized gingival swelling on the buccal aspect of the tooth adjacent to the furcation area. In the management of endodontic-periodontal disease, proper diagnosis is critical to ensure treatment success and favorable long-term prognosis. If endodontic and periodontal lesions occur in different roots of the same tooth they are readily distinguishable. A search was conducted reviewing existing literature relating to classification and prognostication of individual teeth. The periapical index is a structured scoring system for categorization of radiographic features of apical periodontitis. In the context of apical periodontitis, therefore, this term applies to both the time course and chances of healing. The most conventional classification used for endodontic-periodontal lesions was given by Simon et al. The treatment and prognosis are now different than those of teeth simply having endo or perio disease ; The tooth now requires both endodontic and periodontal treatments ; If the endo Tx is adequate, the prognosis depends on the severity of the plaque-induced periodontitis and the efficacy of perio Tx; 33 Primary Endo with Secondary Perio Primary endodontic lesion with secondary periodontal One of the earliest classifications to classify endo-perio lesions was proposed by Oliet and Pullock (1968) 41.This classification is based on treatment needs and has been used by Grossman 42.According to this classification, endo-perio lesions can be classified into three types, (Fig. is the presence of a periapical radiolucency. Over the past 80 years, an extensive volume of Odontogenic cyst are a group of jaw cysts that are formed from tissues involved in odontogenesis (tooth development). 15 In the present case, the control of root canal infection and the sealing of the MTA resorbed area were determinants for the prognosis of the treated tooth. The primary cause of the lesion should be understood as it can influence their prognosis … Endodontic-Periodontal Lesion : A pathological communication between the pulpal and periodontal tissues of a tooth. These lesions can be simply classified, however the difficulty arises in the fact that endodontic and periodontal lesions can often join together – making diagnosis and differentiation quite difficult. Etiologic If the endodontic infection is controlled, the prognosis of the tooth is ultimately determined by the treatability of the periodontal defect, which is based on the extent of the attachment loss and the morphology of the defect. Endodontic-periodontal lesions present challenges to the clinician as far as diagnosis and prognosis of the involved teeth are concerned. Background . Prognosis. endodontic treatment. Background and objectives: The long-term outcome of endodontic microsurgery (EMS) performed on root-filled teeth affected by post-treatment apical periodontitis (AP) has been a matter of debate, re-launched by the introduction of novel root-end filling materials which have been proven to improve the short-term outcome of EMS. Based on the available literature, these types of teeth may have a poor prognosis after endodontic treatment, with the potential ramification of extensive periodontal and/or periapical bone loss. ... factor influencing the endodontic prognosis. provide is well recognized in the current concept of evidence-based health care. Radiographic methods were not included. disease. Diagnosis of cervical resorption was confirmed. It is hard for clinicians to predict their prognosis. 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