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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The irritating chemical may diffuse through the dentinal tubules, and when combined with heat, they are likely to cause necrosis of the cementum, inflammation of the periodontal ligament, and subsequently root klasifijasi [ 3637 ]. Although there is existence of these communication routes, the mechanism of direct transmission of the periodontal infection to the pulp is still controversial. View at Periodontitid Scholar G. For diagnostic purposes, it is imperative for the clinician to insert a gutta-percha cone into the sinus tract and to take one or more radiographs to determine the origin of the lesion.

Studies have indicated that this factor may be an important cause of peeriodontitis treatment failure [ 25 — 27 ]. The simultaneous existence of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning. On the other hand, Langeland et al. 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 has been justified.

periodonfitis If a draining sinus tract through the periodontal ligament is present before root canal treatment, resolution of the probing defect is expected. It could be of two subcategories. Kegoyangan gigi geligiGambaran klinis neutropenia: International Journal of Dentistry.

Improper manipulation of endodontic instruments can also lead to a perforation of the root. Klasifikasi Penyakit Periodontal Part 1 Documents. Indexed in Web of Science.

International Journal of Dentistry

Granulation tissue derived from bone or gingival connective tissue may induce root resorption and ankylosis [ 1731 ]. Penyakit gingiva yang dimodifikasi oleh faktor sistemika. The integrity of the periodontium will be reestablished if root canal treatment is done properly.


The potential for replacement resorption was also associated with periodontal wound healing. This makes it difficult to diagnose because a single lesion may present signs of both endodontic and periodontal involvement. At the site of perforation, an inflammatory reaction in periodontal ligament occurs and leads to the formation of a lesion which can progress as a conventional primary endodontic lesion.

Moreover, the dentinal fluids move towards the exterior, thereby reducing the diffusion of the harmful products of the bacteria on the exposed dentin. From the point of view of treating these cases efficaciously, another clinical classification was provided by Torabinejad and Trope in [ 21 ], based on the origin of the periodontal pocket: If the lesions are not well treated and the canals are not disinfected and sealed completely, they will house bacterial necrotic rests, which account for the progression of the lesion or even for the endodontic reinfection [ 13 — 15 ].

Lesi gabungan periodontik-endodontik Adapun tanda dan gejala dari penyakit periodontal, antara lain: Gingivitis yang berhubungan dengan diabetes mellitusb. In such cases, it is advisable to treat both tissues [ 23 ]. Adanya nekrosis tepi gingiva yang meluas kedaerah gingiva yang melekat3.

A deep narrow probing defect is noted on just one aspect of the tooth root. Subscribe to Table of Contents Alerts. Gingivitis yang berhubungan dengan masa pubertas2.

They have the potential to cause root resorption.

Berhubungan dengan penyakit darah1. 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.

A New Classification of Endodontic-Periodontal Lesions

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 klasfiikasi sedalam mmc.

The authors declare that there is no conflict of interests regarding the publication of this paper. Pulp exposures, periodontitis, and caries lesions are of significant importance in the development of periodontal-endodontic lesions.


When root perforation occurs, communications between the root canal system and either periradicular tissues or the oral cavity may often reduce the prognosis of treatment. Due to the complexity of these infections, an interdisciplinary approach with a good collaboration between endodontists, Periodontist, and microbiologists is recommended.

Progression of the periodontal disease and the pocket leads to pulpal involvement via either a lateral canal foramen or the main apical foramen. Penyakit gingiva yang dimodifikasi oleh obatII. Berhubungan dengan sistem endokrin1. View at Google Scholar F. This condition may mimic, clinically, the presence of a periodontal abscess. PeriodontitisPeriodontitis terbagi menjadi 3 tahap, yaitu early periodontitis, moderate periodontitis, dan advanced periodontitis.

A new endodontic-periodontal interrelationship classification, based on the primary disease with its secondary effect, is suggested as follows: An endo-perio lesion can periodonittis a varied pathogenesis which ranges klasufikasi simple to relatively complex one. Table of Contents Alerts. The most common cause of vertical root fracture in endodontically treated teeth is the excessive force used during lateral perriodontitis of gutta-percha.

In some cases, the influence of pulpal pathology may cause the periodontal involvement and vice versa. 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. D Chemicals Used in Dentistry. Classification of Periodontal Diseases and Conditions Dr. 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 ].

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 klasfikasi canal.