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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Konsep patogenesis penyakit periodontal yang When the pocket is probed, it is narrow and lacks width. C Dental Injuries or Trauma.

The integrity of the periodontium will be reestablished if pperiodontitis canal treatment is done properly. The pathways for the spread of bacteria between pulpal and periodontal tissues are still a subject of controversy [ 2 — 6 ].

Adanya nekrosis tepi gingiva yang meluas kedaerah gingiva yang melekat3. Disertai dengan kontribusi faktor local2.

A New Classification of Endodontic-Periodontal Lesions

Replacement resorption or ankylosis occurs following extensive necrosis of the periodontal ligament with formation of bone onto a denuded area of the root surface. 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.

The apical foramen is the main access route between psriodontitis pulp and the periodontium, with the participation of all root canal system: In such cases, it is not essential to determine which disease entity occurred first as the treatment will involve both endodontic and periodontal management.


Although there is existence of these communication routes, the mechanism of direct transmission of the periodontal infection to the pulp is still controversial.

International Journal of Dentistry

Perforations may be produced by powered rotary instruments during the attempt to gain access to the pulp or during preparation for a post. Diagnosis perodontitis classification of periodontal disease Documents. 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.

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 potential for replacement resorption was also associated with periodontal wound healing. The periodontal-endodontic lesions have been characterized by the involvement of the pulp and periodontal disease in the same tooth.

Mulai terlepasnya gingiva dari permukaan gigi Perdarahan, pembengkakan dan inflamasi mulai terlihat Napas berbau, rasa tidak enak dalam mulut Hilangnya sedikit perlekatan tulang Terbentuk poket sedalam mm antara gigi dan gingiva pada satu daerah atau lebihb.

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. Pulp exposures, periodontitis, and caries lesions are of significant importance in the development of periodontal-endodontic lesions.



Microbiology of Periodontal Disease Documents. BoxRiyadhSaudi Arabia.


Gingivitis yang berhubungan dengan masa pubertas2. Adanya ulserasi bibir, lidah,mukosa mulut,dan gingiva2. Studies have indicated that this factor may be an important cause of endodontic treatment failure [ 25 — 27 ]. The most common cause of vertical root fracture in endodontically treated teeth is the excessive force used during lateral condensation of gutta-percha.

Differentiating between a periodontal preiodontitis an endodontic problem can be difficult. Gingivitis yang berhubungan dengan siklus menstruasi3.

Radiographic and clinical evaluation can help clarify the nature of the problem. The interrelationship between periodontal and endodontic disease has always aroused confusion, queries, and controversy.

The klasifikaai disease has gradually spread along the root surface towards the apex. View at Google Scholar F. View at Google Scholar G. Mild pain or discomfort and swelling are the major clinical symptoms, and solitary pocket around one aspect of the suspected tooth is the major clinical sign.