DATES: 25 NOVEMBER 02 12 MARCH 03

TIME: 1300 -1600

LOCATION: CLASSROOM C CLASSROOM B

TOPICS: CASE PRESENTATIONS

CHAIRPERSONS: LT STAADECKER (NOVEMBER SEMINAR)

LCDR GHAIRI / LT FOLK (MARCH SEMINAR)

SEMINAR OBJECTIVE: To present clinical cases which represent endodontic-

periodontic interrelationships. In addition, select

primary endodontic and primary periodontic cases

will be presented for the edification of each specialty.

MAIN POINT: Clinical cases will be presented and discussed referencing

endodontic and periodontic concepts and literature.

CASE TYPES: The following case types will be presented using the Simon, Glick

and Frank Classification system: Primary endo, Primary

Perio, Primary endo-Secondary Perio, Primary Perio-Secondary

Endo, True Combined.

CT #1 - Palatogingival Groove Cases

CT #2 - Furcation Management Cases

CT #3 - Root Amputations/Hemisections/Bicuspidization

CT #4 - Connective Tissue Grafts

CT #5 - Sinus Lift Surgery

CT #6 - Guided Tissue Regeneration/Guided Bone Regeneration Techniques

CT #7 - Use of Various GTR Barriers

CT #8 - Osseointegrated Implants

CT #9 - Endodontic Implants

Endo-Perio Background Literature

The following list of references and bottom lines is a suggested starting point for review for the Endo-Perio Seminars. The list is not exhaustive and study of the literature should by no means limited to these articles.

I. Endodontic/Periodontal Classification

Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Periodontol 1972;43;202-8.

McClanahan SB, Johnson JD, Blundell RE. Pulpal and periradicular diagnostic terminology. Clinical Update, NPDS 2002;24:1-3.

Armitage GC. 1999 International Workshop for a Classification of Periodontal Diseases and Conditions. Annals of Periodontology 1999;4(1):1-6.

II. Diagnosis

Chacker FM. The endodontic-periodontic continuum. Dent Clin North Am 1974;18:393-414.

Harrington GW. The perio-endo question: differential diagnosis. Dent Clin North Am 1979;23:673-90.

Hildebrand CN, Morse DR. Periodontic-endodontic interrelationships. Dent Clin North Am 1980;24:797-812.

Paul BF, Hutter JW. The endodontic-periodontal continuum revisited: new insights into etiology, diagnosis and treatment. J Am Dent Assoc 1997;128:1541-8.

III. Effects of Pulpal Disease on the Periodontium

Seltzer S, Bender I, Zionitz M. The interrelationship of pulp and periodontal disease. Oral Surg 1963;16:1474-90.

Sinai IH, Soltanoff W. The transmission of pathologic changes between the pulp and the periodontal structures. Oral Surg 1973;36:558-68.

Jansson LE, Ehnevid H, Lindskog SF, Blomlof LB. Radiographic attachment in periodontitis-prone teeth with endodontic infection. J Periodontol 1993;64:947-53.

Miyashita H, Bergenholtz G, Grondahl K, Wennstrom JL. Impact of endodontic conditions on marginal bone loss. J Periodontol 1998;69:158-64.

IV. Effects of Periodontal Disease on the Pulp

Langeland K, Rodrigues H, Dowden W. Periodontal disease, bacteria, and pulpal histopathology. Oral Surg 1974;37:257-70.

Czarnecki RT, Schilder H. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease. J Endodon 1979;5:242-53.

Bergenholtz G, Nyman S. Endodontic complications following periodontal and prosthetic treatment of patients with advanced periodontal disease. J Periodontol 1984;55:63-8.

V. Microbiology

Kipioti A, Nakou M, Legakis N, Mitsis F. Microbiological findings of infected root canals and adjacent periodontal pockets in teeth in advanced periodontitis. Oral Surg 1984;58:213-20.

Kobayashi T, Hayashi A, Yoshikawa R, Okuda K, Hara K. The microbial flora from root canals and periodontal pockets of non-vital teeth associated with advanced periodontitis. Int Endod J 1990;23:100-6.

Kurihara H, Kobayashi Y, Francisco IA, Isoshima O, Nagai A, Murayama Y. A microbiological and immunological study of endodontic-periodontic lesions. J Endodon 1995;21:617-21.

Theilade E. The non-specific theory in microbial etiology of inflammatory periodontal diseases. J Clin Periodontol 1986;13:905-11.

Sundqvist G. Taxonomy, ecology, and pathogenicity of the root canal flora. Oral Surg 1994;78:522-30.

VI. Accessory and Furcation Canals

Gutmann JL. Prevalence, location, and patency of accessory canals in the furcation region of permanent molars. J Periodontol 1978;49:21-6.

Lowman JV, Burke RS, Pelleu GB. Patent accessory canals: incidence in molar furcation region. Oral Surg 1973;36:580-584.

VII. Palato-Gingival Groove

Lara VS, Consolaro A, Bruce RS. Macroscopic and microscopic analysis of the palato-gingival groove. J Endodon 2000;26:345-50.