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Guide to Diagnosing & Treating Endodontic & Periodontal Lesions Guide to Diagnosing & Treating Endodontic & Periodontal Lesions

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Peter C. Shatz, DDS, Albert L. Amato, DDS, David Kurtzman, DDS

Date Added:

4/1/1998


Summary:

The gathering of diagnostic information using radiographs and conventional pulp vitality testing serves as the current foundation for milking uncomplicated endodontic diagnoses. Acquiring and investigating diagnostic information can be analogous to piecing together a puzzle. As each piece fits, a picture begins to emerge. but if the puzzle contains too many pieces and inherently becomes more complex, frustration mounts and elucidating the pIcture becomes more difficult. Therefore, the practitioner must remember endodontic diagnosis becomes less difficult if it has been approached as a process of elimination from the various dental and nonendodontic maladies. These illnesses that may be confused with pulpal pathosis Include anatomic structures appeanng as radiolucencies such as greater palatine, incisive, and mental foramina, and nonodontogenic pathologies such as a giant cell lesion, traumatic bone cyst, or a cementoma. The followmg information is a mode of classifying endo-perio lesions so the primary etiologic factor can be identified.

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