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Explore the intricate connection between periodontics and other dental fields, specifically endodontics. Delve into the impact of pulp diseases, root canal procedures, and endodontic materials on the periodontium. Learn about the effects of periodontal diseases on pulp conditions and treatment strategies for combined endo-perio lesions. Dive into the nuances of periodontic and conservative dentistry, orthodontics, and prosthetic interventions in managing periodontal issues.
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INTER REALATION BETTWEEN PERIODONTICS AND OTHER FIELDS OF DENTISTRY
The periodonteum is anatomically interrelated with the dental pulp by the presence of apical and lateral canals that create a pathway for exchange of noxious substances between these two compartments when either or both of them are diseased.
Effect of endodontic on periodonteum 1. Effect of pulp disease on the periodonteum. 2. Effect of root canal procedures on periodonteum. 3. Effect endodontic materials on periodonteum.
Effect of periodontal disease on pulp conditions 1. Effect of periodontal disease process. 2. Effect of periodontal treatment on pulp conditions
A- if the tooth is vital, so the cause is periodontal and the lesion will heal by ordinary periodontal treatment.
B- if the tooth is non vital, so the cause may be pure endodontic in origin or periodontal reaching the apical foramen (combined endo perio lesion)
treatment of combined lesion • Endo and waiting if not healed • Periodontal treatment.
1. Finishing line should be always be above the gingival margin
2. hygienic (sanitary) bridge is better to be constructed in the posterior region .
3. The pontic should be selected to have a minimal or pin-point contact with the oral mucosa
4. Restoring the normal crown contours and contact areas.
5. Type of the filling materials The best filling material that is compatible with the oral epithelium is gold restoration followed by amalgam restoration, then composite and finally acrylic filling material that should be always placed far from the gingival margin.
1. Orthodontic procedures have no effect on teeth with healthy periodonteum
2. orthodontic forces and occlusal trauma may produce rapid destruction than would occur with inflammation alone.
3. orthodontic movement of teeth into inflamed infra bony pockets may create a high risk for additional periodontal tissue destruction
4. Periodontal surgery schedules in patient under orthodontic treatment
A. Itis preferable to delay the required periodontal surgery until the active tooth mobility has been accomplished.
B. If the case is not in need of periodontal surgery a sulcular incision may be practiced.
1. Temporary acrylic removable partial denture causes more damage than the casted removable partial denture
2. The real problem is occur in cases of free end partial dentures as it has very poor prognosis
3. the best solution for this problem is the dental implant.
Degrees of furcation involvement that required scaling and root planning are?