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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Introduction The periodontal-endodontic lesions have been characterized by the involvement of the pulp and periodontal disease in the same tooth. Diagnosis and classification of periodontal disease Documents. Table of Periodontihis Alerts. Vertical root fractures are caused by trauma and perioontitis been reported to occur in both vital and nonvital teeth.

Lindhe [ 19 ] also reported that bacterial infiltrates of the inflammatory process may reach the pulp when there is accessory canal exposure, through apical foramens and canaliculi of the furcation area.

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The artificial pathways between periodontal and pulpal tissues are vertical root fractures. Probiotics for management of periodontal disease: Although there is existence of these communication routes, the mechanism of direct transmission of the periodontal infection to the pulp is still controversial.

Classification of Periodontal Diseases and Conditions Documents. Rubach and Mitchell [ 18 ] suggested that the periodontal disease may affect the pulp health when the accessory canal exposure occurs, allowing the periodontopathogenic bacteria to cause inflammatory reactions followed by pulp necrosis.

The irritating chemical may diffuse through the dentinal tubules, and when periodonttiis with heat, they are likely to cause necrosis of the cementum, inflammation of the periodontal ligament, and subsequently root resorption [ 3637 ]. 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 ]. This highlights the importance of taking the complete clinical history and making the right diagnosis to ensure correct prognosis and treatment.


Penyakit gingiva yang dimodifikasi oleh faktor sistemika. Microbiology of Periodontal Disease Documents.

A New Classification of Endodontic-Periodontal Lesions

It could be of two subcategories. The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy.

Necrotizing Periodontal Disease A. Perforations may be produced by powered rotary instruments during the attempt to gain access to the pulp or during preparation for a post.

Penyakit gingiva yang dimodifikasi oleh obatII. If a draining sinus tract through the periodontal ligament is present before root canal treatment, resolution of the probing defect is expected. Primary endodontic diseases usually heal following root canal peiodontitis.

Classification of periodonntitis disease and conditions Based on these classifications, the most widely used classification of endodontic-periodontal lesions is the one that has been classified by Simon et al. A new endodontic-periodontal interrelationship classification, based on the primary disease with its secondary effect, is suggested periodontiits follows: Replacement resorption or ankylosis occurs following extensive necrosis of the periodontal ligament with formation of bone onto a denuded area of the root surface.

In such cases, it is advisable to treat both tissues [ 23 ].

International Journal of Dentistry

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. Some studies [ 238 ] have contradicted this idea, because even with the removal of the cementum during the periodontal therapy in vital teeth, the pulp tissue will be protected against the harmful agents through forming reparative dentin.


The periodontal-endodontic lesions have been characterized by the involvement of the pulp and periodontal disease in the same tooth. Klasifikasi Penyakit Periodontal Part 1 Documents. Gigi goyang bahkan tanggal Napas berbau, rasa tidak enak dalam mulut yang menetap Akar gigi terbuka dan sensitif terhadap panas dan dingin Poket antara gigi dan gingiva telah mencapai kedalaman 6 mm.

The apical foramen is the main access route between the pulp and the periodontium, with the participation of all root canal system: Abses pada gingiva mulai terbentuk Gigi terlihat lebih panjang klasifikasu 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. Another classification was periodontktis by the world workshop for classification of periodontal diseases [ 22 ], Periodontitis Associated with Endodontic Disease: This condition is most often seen as a complication of luxation injuries, especially in avulsed teeth that have been out of their sockets in dry conditions for several hours.

Treatment of traumatic dental injuries varies depending on the type of injury and it will determine pulpal and periodontal ligament healing prognosis llasifikasi 1729 — 33 ].