Perio-endo lesions: Diagnostic dilemmas and clinical approaches for management
Informations
Dear Colleagues, Our next webinar is scheduled for Tuesday 21/11/2023 at 20:00. During this webinar our speakers, Endodontist George Milesis and Endodontist Efthymios Arvanitidis will be covering the topic “Perio-endo lesions: Diagnostic dilemmas and clinical approaches for management”. This webinar is co-organized by the Hellenic Association of Endodontists and the Dental Association of Corfu. Attendees will be credited 1,5 CE credits (MEEO) of the Hellenic Association of Endodontists as well as 1,5 CPD Credit Hour. The language of the webinar will be Greek.
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Abstract
The pulp and periodontium due to their common embryologic origin, share natural anatomic pathways of communication (apical foramina, lateral canals, exposed dentinal tubules, or developmental grooves). Additional acquired pathways of communication may emerge in the lifetime of a tooth via pathological or iatrogenic processes, such as cracks and root fractures, root resorption, cemental tears, or perforations. This intimate relationship and the common borderland of endodontic and periodontal conditions may create similarities in their clinical and radiographic manifestations, whereby each condition has the potential for mimicking the other, or even result in combined endo-perio lesions.
Εndo-perio lesions with or without root damage can pose diagnostic dilemmas as the aetiology of the lesion can be elusive, while the contribution of each disease to the lesion can often be clinically indistinguishable. The determination of prognosis should rely on correctly identifying the origin of the lesion that may involve post-hoc review, while the clinical management may involve complex multidisciplinary treatment strategies. Particularly in combined endo-perio lesions with severe periodontal destruction around the affected teeth, the prognosis depends largely on the extent of destruction caused by the periodontal disease component. Therefore, the periodontal prognosis must first be ascertained, taking into consideration diagnostic data both at a tooth level and at a patient level.
This case-based presentation will provide an overview of different types of perio-endo lesions and describe the diagnostic thought-process and the utility (and limitations) of specific diagnostic aids for reaching a diagnosis. The role of CBCT imaging in identifying the pattern and extent of bone loss and revealing root defects will also be highlighted. The discussion of clinical management will explore the prognosis of perio-endo lesions, highlighting factors that may predispose to a compromised clinical outcome, and describe the potential efficacy of multidisciplinary treatment strategies.
Short CVs
George Milesis
George graduated with honours from the dental school of Thessaloniki, Greece and worked for two years in emergency dental care in military hospitals. He then embarked on a three-year postgraduate training in Endodontology at the world renowned UCL Eastman Dental Institute. He graduated with Distinction in 2016 and passed the Membership in Endodontics examinations by the Royal College of Surgeons of Edinburgh. He is GDC-registered Specialist in Endodontics.
His passion for Endodontics, resulted in his appointment as Clinical Lecturer and Deputy Director of the Endodontic Masters programmes at the Eastman. He served this role for four years and was heavily involved in teaching and clinical supervision of aspiring endodontic specialists, while also being a member of the Board of Examiners. He is a Fellow of the Higher Education Academy and has published in international journals, while he has designed and run several hands-on tutorials and workshops for endodontic clinical skills development. He currently works as Specialist in Endodontics in private practices in London, Winchester, and Milton Keynes.
He is a member of the British Endodontic Society (BES) and Senior Executive Officer of the world-renowned Langham Endodontic Study Group.
Efthymios Arvanitidis
Dr. Efthymios Arvanitidis achieved his dental degree in 2009 from the Aristotle University of Thessaloniki.
In 2014, he was was awarded his EFP accreditation and MSc Diploma (Periodontology & Implant Dentistry) from the Academic Centre for Dentistry of Amsterdam (ACTA).
The same year, he founded his private practice in the city of Drama limited only to periodontology and implant dentistry.
