Professional Documents
Culture Documents
Etiology:
when case start in the pulp ,most likely due to 1)
caries, caries will extend into pulp chamber ,
bacteria will go all the way there and from there
they will go either through apical foramen,
accessory canal , if you look to this tooth from the
bottom , restorative procedures , traumatic injury ,
or tooth cracked due to trauma and then we end up
with endo perio lesion.
If you look to this radiograph for example how do
you know this lesion start as endo or perio lesion ?
In the radiograph still we have a crest there ,but
yet we have a good area of radiolucency .
2-Mechanical irritant.
2- Radiographs.
4- flap.
Treatment :
¤ single-rooted tooth: take the tooth out.
¤ multi-rooted tooth: u may have hemisection, root
resection or extraction .
Radiograph may deceive u ,upper RG look like PA
lesion ,however , when u open a flap u find this
tooth is vital or responsive ,but what happen this
destroyed PDL area is overlapped the root, so its
look like PA lesion .
THE END