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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Through this knowledge, the dentist will achieve the correct diagnosis and adequate treatment, resulting in greater chances of obtaining success in the treatment of the periodontal-endodontic lesions. Gingivitis yang berhubungan dengan diabetes mellitusb. Progression of the periodontal disease and the pocket leads to pulpal involvement via either a lateral canal foramen or the main apical foramen. Peridoontitis a draining sinus tract through the periodontal klqsifikasi is present before root canal treatment, resolution of the probing defect is expected.

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

Treatment of traumatic dental injuries varies depending on the type of injury and it will determine pulpal and periodontal ligament healing prognosis [ 1729 — 33 ]. This paper aims to discuss a modified clinical classification to be considered for accurately diagnosing and treating endo-perio lesion.

Some authors such as Rubach and Mitchell [ 18 ] affirmed that the periodontal disease periodontitie affect the pulp when there is exposure of the accessory canals through the apical foramina and the canaliculi in the furcation. To receive news and publication updates for International Journal of Dentistry, enter your email address in the box below.

A deep narrow probing defect is noted on just one aspect of the tooth root. One klasifiiasi the main classification items was primary endodontic disease, which we believe should be modified, since it has no periodontal relationship.

Disertai dengan kontribusi faktor local2. The pulp subsequently becomes necrotic and infected.


The pathways for the spread of bacteria between pulpal and periodontal tissues are still a subject of controversy [ 2 — 6 ]. Gingivitis yang berhubungan dengan siklus menstruasi3. 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.

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.

In such cases, it is advisable to treat the periodontal tissues only. 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. The most common cause of vertical root fracture mlasifikasi endodontically treated teeth is the excessive force used during lateral condensation of gutta-percha.

Microbiology of Periodontal Disease Documents. Adanya ulserasi bibir, lidah,mukosa mulut,dan gingiva2. Replacement resorption or ankylosis occurs following extensive necrosis of the periodontal ligament with formation of bone onto a denuded area of the root surface. Epidemiology of Periodontal Disease periodontal disease include all pathological conditions of the periodontium gingiva, alveolar bone, cementum.

Primary endodontic diseases usually klasifikssi following root canal treatment.

International Journal of Dentistry

Gingiva berwarna merah dan mudah berdarah5. The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy. Klasifikasi Klqsifikasi Periodontal Part 1 Documents. It is generally advisable to treat both tissues concurrently in order to create the most favorable environment for healing. Another form of the interrelationship is because of the iatrogenic perforations due to either rotary instruments or improper handling of the endodontic instruments [ 16 ].

Due to the complexity of these infections, an interdisciplinary approach with a good collaboration between endodontists, Periodontist, and microbiologists is recommended.


A New Classification of Endodontic-Periodontal Lesions

Differentiating between a periodontal and an endodontic problem can be difficult. Periodontal diagnoses and classification of periodontal diseases Documents.

Some studies [ 2 klasifikxsi, 38 ] 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. Gingiva mudah berdarah saat menyikat gigi Gingiva mengalami inflamasi dan peka jika disentuh, Gingiva bengkak, Gingiva berwarna kemerahan, Kemungkinan napas berbau dan mulut terasa tidak enak.

Vertical root fractures are caused by trauma and have been reported to occur in both vital and nonvital teeth. Penyakit Gingiva 1 Gingivitis yang hanya klasifijasi dengan dental plaque sajaa.

It is the leakage of bacterial elements from the oral environment along the margin of the restoration to the endodontic filling.

The integrity of the periodontium will be reestablished if root canal treatment is done properly. 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 kalsifikasi or even for the endodontic reinfection [ 13 — 15 ].


There is a general agreement today that the vast majority of pulpal and periodontal lesions are the result of bacterial infection. Taking into consideration all these factors and the divergences regarding the origin periodonntitis direction that these infections developed, the new modified classification of these lesions has been justified. Tetapi pada leukimia kronisjarangGambaran gingiva pada leukimia akut: Necrotizing ulcerative gingivitis NUG B. In some cases, the influence of pulpal pathology may cause the periodontal involvement and vice versa.