A New Classification of Endodontic-Periodontal Lesions

The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy. Differentiating between a periodontal and an endodontic problem can be difficult. A symptomatic tooth may have pain of periodontal and/or pulpal origin. The nature of that pain is often the first clue in determining the etiology of such a problem. Radiographic and clinical evaluation can help clarify the nature of the problem. In some cases, the influence of pulpal pathology may cause the periodontal involvement and vice versa. The simultaneous existence of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning. An endo-perio lesion can have a varied pathogenesis which ranges from simple to relatively complex one. The differential diagnosis of endodontic and periodontal diseases can sometimes be difficult, but it is of vital importance to make a correct diagnosis for providing the appropriate treatment. This paper aims to discuss a modified clinical classification to be considered for accurately diagnosing and treating endo-perio lesion.

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The relationship between periodontite and diabetes mellitus type ii facing the new classification of periodontal diseases: literature review

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720200005920190060 ◽

2020 ◽

Vol 68 ◽

Author(s):

Lívia Maria Lopes de OLIVEIRA ◽

Lívia Mirelle BARBOSA

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Literature Review ◽

Periodontal Disease ◽

Periodontal Diseases ◽

New Classification ◽

The Relationship

ABSTRACT Periodontal disease and type 2 diabetes mellitus are considered chronic diseases that at their core have a deep relationship with inflammation. It is assumed that there is a bidirectional relationship between periodontal disease and type 2 diabetes mellitus. It is estimated that approximately 10% of the world’s population is affected by periodontal disease, in its most severe form, almost the same percentage estimated for people with diabetes, which is considered a 21st century emergency. The World Workshop for the Classification of Periodontal and Peri-implant Diseases and Conditions took place from September 9-11, 2017. The aim of this study is to analyze the results of this workshop with regard to the relationship between periodontal diseases/conditions and diabetes mellitus, in addition to conducting an integrative review on the topic. A literature review was conducted, using the Medline electronic databases via Pubmed, Scientific Electronic Library Online, Scientific and Technical Literature of Latin America and the Caribbean and Virtual Health Library. A new classification of periodontal disease included tools for individual assessment of the patient and recognizing risk factors that might negatively interfere in response to treatment. The occurrence of metabolic lack of control in periodontal patients with type 2 diabetes mellitus is now considered a factor of great importance for the assessment of individual susceptibility to the progression of periodontitis. Diabetes is believed to promote a hyper inflammatory response to bacterial challenge by modifying the tissue response of periodontal tissues.

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Assessing periodontal health and the british society of periodontology implementation of the new classification of periodontal diseases 2017

Dental Update ◽

10.12968/denu.2019.46.10.918 ◽

2019 ◽

Vol 46 (10) ◽

pp. 918-929 ◽

Cited By ~ 3

Author(s):

Mike R Milward ◽

Anthony Roberts

Keyword(s):

Periodontal Disease ◽

Health Professionals ◽

Periodontal Diseases ◽

Dental Health ◽

British Society ◽

Dental Practice ◽

New Classification ◽

General Dental Practice ◽

Chronic Inflammatory Condition

Periodontal disease is a highly prevalent, chronic, inflammatory condition which is a major contributor to tooth loss and poor oral health-related quality of life. For the vast majority of patients, the disease is entirely preventable/manageable often aided by input from dental health professionals. As dental health professionals, understanding the periodontal disease process, the risk factors associated with it, standardized ways of detecting, diagnosing and monitoring the disease, along with the special tests needed to aid this process are essential skills for successful disease management. This article summarizes the need for assessing periodontal disease including key aspects of detection, a brief history of periodontal disease classification and the new classification. The paper goes on to discuss the British Society of Periodontology implementation plan of new classification and how this can be utilized for use in general dental practice. CPD/Clinical Relevance: This paper introduces the practitioner to the 2017 Classification of Periodontal Disease along with how this is implemented in general dental practice. The paper provides useful cases for practice as well as flowcharts to aid diagnosis.

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Endodontic-Periodontal Interrelationship, a phenomenon dealt with dilemma: a Review

Bangladesh Journal of Dental Research & Education ◽

10.3329/bjdre.v3i1.16594 ◽

2013 ◽

Vol 3 (1) ◽

pp. 36-44

Author(s):

F Rashid ◽

CM Jan ◽

MAA Polan ◽

NA Nomann ◽

AJ Rashid ◽

...

Keyword(s):

Periodontal Disease ◽

Treatment Planning ◽

Periodontal Diseases ◽

Treatment Plan ◽

Correct Diagnosis ◽

Hippocratic Oath ◽

Subsequent Treatment ◽

Periodontal Tissues ◽

Suitable Treatment ◽

Simultaneous Existence

The term perio-endo lesion has been established to describe any lesion caused by any inflammatory product found in varying degrees in both the periodontium and the pulpal tissues and this inter-relationship between periodontal and pulpal disease was first described by Simring and Goldberg in 1964. As the pulpal and periodontal tissues have close embryonic, anatomical and functional inter-relationship; so, simultaneous existence of pulpal problems and inflammatory periodontal disease can be found frequently. This certainly can complicate diagnosis and also influencing outcome of treatment planning. A perio-endo lesion can have a varied pathogenesis which ranges from quite simple to relatively most complex one, thus coming to a definitive diagnosis a hard judged one. Having a thorough knowledge over these disease processes plays a key role in coming to the correct diagnosis and also subsequent treatment planning. This certainly can be achieved by careful history taking, a thorough intra and extra oral examination and the use of modern day special test apparatuses. Radiographic evaluations can also aid in clarifying the nature of the problem, even modern day Radio-Visio Graph or, RVG can also be a great tool that can come into aid. The prognosis and treatment of each endo-perio disease type varies a lot. Stating so, primary periodontal disease with secondary endodontic involvement and true combined endodontic-periodontal diseases require both endodontic and periodontal therapies along with proper medication & oral hygiene maintenance. The prognosis of each case depends on the severity of periodontal disease and the response to periodontal treatment, while the treatment of affected tooth/teeth with endodontic involvement also requires the same. This review paper is focused on enabling the operator to construct a suitable treatment plan where unnecessary, prolonged or even detrimental treatment is avoided, thus avoiding breaking of Hippocratic Oath taken by a dental surgeon in his/her maiden practice life. DOI: http://dx.doi.org/10.3329/bjdre.v3i1.16594 Bangladesh Journal of Dental Research & Education Vol.3(1) 2013: 36-44

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Assessment and management of endo-periodontal lesions

Dental Update ◽

10.12968/denu.2019.46.10.930 ◽

2019 ◽

Vol 46 (10) ◽

pp. 930-941

Author(s):

Philippa Hoyle ◽

Manoj Tank ◽

Somayeh Modarres-Simmons ◽

Claire Annabel Storey

Keyword(s):

American Academy ◽

Treatment Strategy ◽

Clinical Relevance ◽

Periodontal Diseases ◽

Management Strategies ◽

Accurate Diagnosis ◽

European Federation ◽

New Classification ◽

Systematic Methodology

Endo-periodontal lesions present a number of challenges for clinicians. These include understanding their underlying aetiology, forming an accurate diagnosis and suitable prognosis and subsequently formulating an effective treatment strategy. This article aims to provide a summary of the literature available in the areas highlighted above, with particular reference to the recent joint American Academy of Periodontology and European Federation of Periodontology (AAP/EFP) world workshop for classification of periodontal and peri-implant diseases. CPD/Clinical Relevance: This paper outlines important aspects a clinician must consider, including anatomy, a systematic methodology for assessment and introduction of the new classification of periodontal diseases in diagnosis. Prognosis and formulation of appropriate management strategies are explored.

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Differential diagnosis of dental fluorosis made by undergraduate dental students

Einstein (São Paulo) ◽

10.1590/s1679-45082015ao3472 ◽

2015 ◽

Vol 13 (4) ◽

pp. 547-554

Author(s):

Lilian Rigo ◽

Leodinei Lodi ◽

Raíssa Rigo Garbin

Keyword(s):

Differential Diagnosis ◽

Dental Fluorosis ◽

Correct Diagnosis ◽

Dental Students ◽

Major Difficulty ◽

Appropriate Treatment ◽

Degrees Of Severity ◽

Structured Questionnaire ◽

Severity Degree ◽

Surface Changes

ABSTRACT Objective To check knowledge of undergraduate dental students to make diagnosis of dental fluorosis with varying degrees of severity and choose its appropriate treatment. Methods Data were collected using a semi-structured questionnaire addressing knowledge of undergraduates based on ten images of mouths presenting enamel changes. Results Only three images were correctly diagnosed by most undergraduates; the major difficulty was in establishing dental fluorosis severity degree. Conclusion Despite much information about fluorosis conveyed during the Dentistry training, as defined in the course syllabus, a significant part of the students was not able to differentiate it from other lesions; they did not demonstrate expertise as to defining severity of fluorosis and indications for treatment, and could not make the correct diagnosis of enamel surface changes.

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The Localization Subgingival Margins of Cavity: A New Classification

10.20944/preprints202101.0364.v1 ◽

2021 ◽

Author(s):

Oleksandr Bulbuk ◽

Olena Bulbuk ◽

Mykola ROZHKO

Keyword(s):

Clinical Situation ◽

Interrater Agreement ◽

Integer Number ◽

Clinical Classification ◽

New Classification ◽

Perfect Agreement ◽

Proximal Caries ◽

Moderate Agreement ◽

Precise Diagnosis

Background. Restoring large defects with proximal caries extending below the cemento-enamel junction and cavity margins located beneath the gingival tissues represents a very common clinical situation. The aim of this article is to propose a clinical classification of the localization subgingival margins of cavity.Material and methods. Diagnosis is carried out by periodontal probe perpendicular to the long axis of the tooth in the deepest point of the cavity’s margin. To describe the localization subgingival margins of cavity we use exponent which value is equal to the distance (integer number expressed in millimeters) of the level of epithelial attachment to the margin of the cavity. Three periodontal examiners, with >10 years of periodontal practice, were required to attend a calibration session aimed at the validation of the proposed classification. Results. The intrarater and interrater agreement among the localization subgingival margins of cavity: for intrarater agreement ranged from 0.74 to 0.95 (almost perfect agreement), whereas interrater agreement ranged from 0.26 to 0.59 (moderate agreement).Conclusions. The classification the localization subgingival margins of cavity is useful for reaching a more precise diagnosis.

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General dental practitioners’ perceptions on Team-based learning pedagogy for continuing dental education

The Asia Pacific Scholar ◽

10.29060/taps.2022-7-1/sc2517 ◽

2022 ◽

Vol 7 (1) ◽

pp. 98-101

Author(s):

Lean Heong Foo ◽

Marianne Meng Ann Ong

Keyword(s):

Flipped Classroom ◽

Clinical Teaching ◽

Dental Education ◽

Periodontal Diseases ◽

Learning Experience ◽

New Classification ◽

Dental Practitioners ◽

Team Based Learning ◽

Clinical Cases

Introduction: Team-based learning (TBL) pedagogy is a structured, flipped classroom approach to promote active learning. In April 2019, we designed a TBL workshop to introduce the New Classification of Periodontal Diseases 2017 to a group of general dental practitioners (GDPs). We aimed to investigate GDPs feedback on learning this new classification using TBL pedagogy. Methods: Two articles related to the 2017 classification were sent to 22 GDPs 2 weeks prior to a 3-hour workshop. During the face-to-face session, they were randomly assigned to five groups. They participated in individual and group readiness assurance tests. Subsequently, the GDPs had inter- and intragroup facilitated discussions on three simulated clinical cases. They then provided feedback using a pen-to-paper survey. Based on a 5-point Likert scale (1-strongly disagree to 5-strongly agree), they indicated their level of agreement on items related to the workshop and their learning experience. Results: Majority (94.7%, 18 out of 19 GDPs) agreed the session improved their understanding of the new classification and they preferred this TBL pedagogy compared to a conventional lecture. All learners agreed they can apply the knowledge to their work and there was a high degree of participation and involvement during the session. They found the group discussion and the simulated clinical cases useful. Conclusion: A TBL workshop is suitable for clinical teaching of the New Classification of Periodontal Diseases 2017 for GDPs. Its structure promotes interaction among learners with the opportunity to provide feedback and reflection during the group discussions. This model might be a good pedagogy for continuing dental education.

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Diagnosis, progression, prognostic indication and classification of periodontal disease: A review (Part 1)

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-80-10 ◽

1994 ◽

Vol 80 (1) ◽

pp. 10-16

Author(s):

C R Priestland

Keyword(s):

High Risk ◽

Periodontal Disease ◽

Disease Activity ◽

Periodontal Diseases ◽

Risk Groups ◽

Systemic Diseases ◽

Historical Evidence ◽

Periodontal Tissues ◽

The Third

AbstractThis review is divided into a series of three papers. In the first, the prevalence of periodontal disease and the diagnostic problems in screening for high risk groups of patients will be reviewed. The difficulties encountered in differentiating between disease activity and historical evidence of past disease will also be considered along with the wide variation in disease progression rates. Having discussed diagnosis and disease activity markers, an accepted classification of periodontal diseases will be described. In the second paper, those periodontal diseases described as Gingivitis will be discussed. Finally in the third paper, Periodontitis will be reviewed with some emphasis being placed on the involvement of the periodontal tissues in systemic diseases.

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