Universitat Internacional de Catalunya
Revision of Literature On Endodontics III
Other languages of instruction: Catalan, Spanish,
Teaching staff
Email jagonzalez@uic.es to request an appointment about the subjects of endo-perio and endodontic medicine.
Email franabella@uic.es to request an appointment about the subjects of apical periodontitis and implants versus endo.
Introduction
This subject provides in-depth knowledge of the following subjects:
Endodontic medicine, Endodontic–Periodontic Lesions, implants versus endodontic therapy and apical periodontitis.
Pre-course requirements
No hay requisitos previos
Objectives
The student will be able to:
Conduct critical analysis of the literature.
Discuss a topic using citations from the current and classical literature.
Know whether the statistical method conforms to what the author wishes to evaluate
List the shortcomings in the methodology
Provide possible improvements to the methodology used
Present a coherent discussion on the different methodological options to evaluate the topic in question
Assess whether the objectives are adequate for the scope of the investigation
Make a critical analysis of the introduction and the discussion of a paper
Evaluate the clinical contribution of the paper
Know the different classifications of the endo-perio lesions
Know the factors that influence the treatment of endo-perio lesions
Know anatomical and functional relation between pulp and attachment apparatus
Know the pathologic interactions in pulpal and periodontal tissues
Know the contributing factors to the endo-perio lesions
Know how to perform a correct differential diagnosis of endo-perio lesions
Know the prognosis of the apical surgery in cases with lesions of endodontic origin compared with cases with lesions of combined periodontal–endodontic origin.
Know the treatment strategy for guided tissue regeneration in combined Endodontic-Periodontal Lesions
Know the influence of periodontal status on endodontically treated teeth
Know the bone resorption patterns in vertical root fractures
Know the clinical sings and symptoms of the vertical root fractures
Know the radiographic features of the vertical root fractures
Diagnose a vertical root fracture
Know the association between cardiovascular disease and apical periodontitis
Know the association between diabetes mellitus and apical periodontitis
Know the association between endodontics and smoking habits
Know the biological mechanisms linking periapical status and systemic diseases
To know the inflammatory response at the molecular level in periapical pathology
To know the applications and limitations of CBCT in endodontic diagnosis
To know the limitations of conventional radiography for endodontic diagnosis
To know the PAI classification
To know what factors influence the endodontic prognosis
To know what factors influence the implant prognosis
To know the complications associated to implants
To know the factors to predict the peri-implant esthetic outcome
Competences/Learning outcomes of the degree programme
Ability to argue and defend one’s own scientific ideas as well as to listen, analyse, evaluate and respond to the ideas of others.
Acquire learning skills that allow the student to continue studying in a self-directed and autonomous mode.
Understand how to provide a basis or opportunity for originality in developing and /or applying ideas in a research context.
Apply acquired knowledge and develop a problem-solving ability in new environments within broader (or multidisciplinary) contexts related to the field of study in question.
Capacity to communicate conclusions to specialised and non-specialised audiences in a clear and unambiguous way.
Know how to apply the appropriate diagnostic techniques and correctly interpret the results derived from them.
Ability to integrate new knowledge acquired through research and study and deal with complexity.
Perform a correct analysis and diagnosis taking into account multidisciplinary factors of the masticatory system
Acquire the skills to apply the scientific method, and to apply the knowledge obtained when solving problems within a scientific sphere..
Be able to diagnose, treat, prevent and pulpoperiapical pathologies and to keep up-to-date in the diagnostic and therapeutic advances that emerge during their professional life.
Acquire the skill to perform endodontic treatments and restorations in patients presenting with endo-perio lesions, apical periodontitis and systemic diseases in a multidisciplinary way.
Be able to give presentations of their own clinical cases, based on the literature, using the correct terminology related with to pulpoperiapical pathology, endo-perio lesions.
Be able to search and organise biomedical information sources and make a critical analysis of the scientific literature on issues relating to endo-perio, endodontic medicine and apical periodontitis in order to able to continue their on-going training in a self-directed and autonomous manner.
Recognise and interpret the specialised imaging and diagnostic techniques that may be relevant in the diagnosing apical periodontitis and endo-perio lesions.
Have autonomy to take a medical history and perform oral explorations in patients with trauma; filling in the clinical record and its clinical progress with the scientific language and terminology expected from a professional in endodontics.
Be able to diagnose, treat, prevent and research into oral disorders and to keep up to date with diagnostic and therapeutic advances that may develop throughout one’s professional career.
Learning outcomes of the subject
The student will be expected to be able to:
Understand the anatomical and functional relation between pulp and attachment apparatus
Know the dental treatments for different types of endo-perio lesions.
Formulate a diagnosis and prognosis of a tooth with endo-perio lesions
Understand the biological mechanisms linking periapical status and systemic diseases
Know the relationship between systemic diseases and apical periodontitis.
Understand the pathogenesis of apical periodontitis
Explain the limtations and indications of CBCT and periapical x-ray in the diagnosis of apical periodontitis
Explain the factors influencing the aesthetic outcome of the implants
Understand what factors influence the implant and endodontic prognosis
Syllabus
Diagnosis, treatment and prognosis of endo-perio lesions
Anatomical and functionai relation between pulp and periodontal tissues
Differential diagnosis of endo-perio lesions
Prognosis of the apical surgery in cases with endodontic lesions and with cases with lesions of combined periodontal–endodontic origin.
Diagnosis of root vertical fractures
The biological mechanisms linking periapical status and systemic diseases
Association between systemic diseases and apical periodontitis
Applications and limitations of CBCT in endodontic diagnosis
Applications and limitations of periapical X-rays in endodontic diagnosis
Inflammatory response at the molecular level in periapical pathology
Factors influencing the implant prognosis
Factors influencing the aesthetic outcome of the implants
Complications associated to implants
Teaching and learning activities
In person
Discussion of clinical papers and chapters of interest, prepared by the faculty and students.
Evaluation systems and criteria
In person
Written exam consisting of 10 questions (maximum 20 points). Minimum pass grade: 20 points. All subjects must be passed to complete the course.
Bibliography and resources
Endo-perio
Strategies for the endodontic management of concurrent endodontic and periodontal diseases. PV Abbott,J Castro Salgado. Australian Dental Journal 2009; 54:(1 Suppl): S70–S85.
Dongari A, Lambrianidis T. Periodontally derived pulpal lesions. Endod Dent Traumatol 1988; 4: 49-54.
Zehnder M, Gold SI, Hasselgren G. Pathologic interactions in pulpal and periodontal tissues. J Clin Periodontol 2002; 29: 663–671. C Blackwell Munksgaard, 2002.
The Relationship of Endodontic–Periodontic Lesions. James H.S. Simon, AB, DDS, Dudley H. Glick, BS, DDS and Alfred L. Frank, DDS. 2013;39:e41-e46
Diagnosis, prognosis and decision-making in the treatment of combined periodontal- endodontic lesions. Rotstein I., Simon J. Periodontology 2000, Vol. 34, 2004, 165–203.
A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease. Czarnecki RT. JOE 1979.
Response of Pulp Sensibility Test Is Strongly Influenced by Periodontal Attachment Loss and Gingival Recession. Cristiane Rutsatz, Simone Glesse Baumhardt, Carlos Alberto Feldens, Cassiano Kuchenbecker Rösing, Renata Grazziotin-Soares, Fernando Branco Barletta. Journal of Endodontics, Vol. 38, Issue 5, p580–583: 2012.
Assessment of Oxygen Saturation in Dental Pulp of Permanent Teeth with Periodontal Disease. Larissa Bergesch Giovanella, Fernando Branco Barletta, Wilson Tadeu Felippe, Kely Firmino Bruno, Ana Helena Gonçalves de Alencar, Carlos Estrela. Journal of Endodontics, Vol. 40, Issue 12, p1927–1931: 2014
Hattler AB.
Pulpal response to root planning in a rat model. JOE 1984; 10: No. 10
Effect of experimentally induced marginal periodontitis and periodontal scaling on the dental pulp. GUNNAR BERGENHOLTZ AND JAN LlNDHE. Journal of Clinical Periodonfology 197S-. 5: 59-73
Stassen IGK, Hommez GMG, De Bruyn H, De Moor RJG. The relation between apical periodontitis and root-filled teeth in patients with periodontal treatment need. International Endodontic Journal, 39, 299–308, 2006.
Ehnevid H, Jansson L, Lindskog S and Blomlof L: Periodontal healing in teeth with periapical lesions, A clinical retrospective study. J Clin Periodonto!. 1993, 20. 254-258.
Ehnevid H,Jansson L, Lindskog S, Weintraub A, Blomlof L. Endodontic pathogens: propagation of infection through patent dentinal tubules in traumatized monkey teeth. Endod Dent Traumatol 1995; 11: 229-234.
Jansson L, Ehnevid H, Lindskog S & Blomlof L: Relationship between periapical and periodontal status. A clinical retropective study. J Clin Periodontol 1993; 20; 117-123.
Jansson L, Ehnevid H, Lindskog S, Blomlof L: Proximal restorations and periodontal status. J Clin Periodontol 1994: 21: 577-582.
Jansson L. Ehnevid H, Blomlof L, Weintraub A, Lindskog S: Endodontic pathogens in periodontal disease augmentation. J Clin Periodontol 1995: 22: 598- 602.
Jansson L, Ehnevid H, Lindskog S, Blomlof L: The influence of endodontic irifection on progression of marginal bone loss in periodontitis, J Clin Periodontol 1995: 22: 729-734.
Lindskog S, Lengheden A, Blomlof L: Successive retnoval of periodontal tissues. Marginal healing without plaque control J Clin Periodontal J993; 20: 14-19.
Long-term evaluation of endodontic and periodontal treatment. JAOUI, MACHTOUT, OUHAYOUN. INTERNATIONAL ENDODONTIC JOURNAL 1995:28;294-54.
Chen S- Y. Wang H-L. Gtictman GN: The influence of endodontic treatment upon periodontat wound heating. J Ctin Periodontot 1997: 24: 449—456.
Effect of Time Lapse between Endodontic and Periodontal Therapies on the Healing of Concurrent Endodontic-Periodontal Lesions without Communication: A Prospective Randomized Clinical Trial. Shilpi Gupta, Sanjay Tewari, Shikha Tewari, Shweta Mittal. Journal of Endodontics, Vol. 41, Issue 6, p785–790: 2015.
Prospective Clinical Study Evaluating Endodontic Microsurgery Outcomes for Cases with Lesions of Endodontic Origin Compared with Cases with Lesions of Combined Periodontal–Endodontic Origin. Euiseong Kim, Jin-Seon Song, Il-Young Jung, Seung-Jong Lee, Syngcuk Kim. Journal of Endodontics, Vol. 34, Issue 5, p546–551: 2008
A new approach to the treatment of true-combined endodontic-periodontic lesions by the guided tissue regeneration technique. Chuen-Chyi Tseng, Wei-Meei Harn, Yea-Huey Melody Chen, Chi-Chou Huang, Kuo Yuan, Ping-Hsien Huang. Journal of Endodontics, Vol. 22, Issue 12, p693–696:1996
Treatment Strategy for Guided Tissue Regeneration in Combined Endodontic-Periodontal Lesions: Case Report and Review. Se-Lim Oh, Ashraf F. Fouad, Sang-Hoon Park. Journal of Endodontics, Vol. 35, Issue 10, p1331–1336:2009.
Bashutski J. Periodontal and endodontic regeneration. JOE 2009
Rankow H., Krasner PR. Endodontic applications of guided tissue regeneration in endodontic surgery. JOE, 1996; 22: 34-43.
Vertical root fractures in endodontically treated teeth: diagnostic signs and clinical management. AVIAD TAMSE. Endod Topics 2006
Diagnosis and management of teeth with vertical root fractures. Moule and Kalher. Australian Dental Journal 1999;44:(2):75-87.
Diagnosis and Treatment of Vertical Root Fractures. Pitts and Natkin. Journal of Endodontics 1983.
Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth Based on Clinical and Radiographic Indices: A Systematic Review. gor Tsesis, Eyal Rosen, Aviad Tamse, Silvio Taschieri, Anda Kfir. Journal of Endodontics, Vol. 36, Issue 9, p1455–1458:201.
The Histopathogenesis of Vertical Root Fractures. Walton, Michelich, Smith. Journal of Endodontics 1984.
An Evaluation of Endodontically Treated Vertically Fractured Teeth. Tamse, Fuss, Lusting and Kaplavi. Journal of Endodontics 1999.
Vertical Root Fractures in Endodontically Treated Teeth: A Clinical Survey of 36 Cases. Testori, Badino and Castagnola. . Journal of Endodontics 1993.
Cracking the Cracked Tooth Code: Detection and Treatment of Various Longitudinal Tooth Fractures. Colleagues for Excellence 2006
Pattern of bone resorption in vertically fractured, endodontically treated teeth.
Lustig,Tamse, Fuss, Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:224-7.
Radiographic features of vertically fractured endodontically treated mesial roots of mandibular molars. Tamse, Kaffe, Lustig, Ganor, Fuss. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:797–802.
Radiographic features of vertically fractured, endodontically treated maxillary premolars. Tamse, Kaffe, Lustig, Ganor, Fuss. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:348-52.
Cone-beam Computed Tomography for Detecting Vertical Root Fractures in Endodontically Treated Teeth: A Systematic Review. Edwin Chang, Ernest Lam, Prakesh Shah, Amir Azarpazhooh. Journal of Endodontics, Vol. 42, Issue 2, p177–185:2015
Implant-associated Vertical Root Fracture in Adjacent Endodontically Treated Teeth: A Case Series and Systematic Review Eyal Rosen, Ilan Beitlitum, Aviad Tamse, Silvio Taschieri, Igor Tsesis. Journal of Endodontics, Vol. 42, Issue 6, p948–952:2016.
A Micro–Computed Tomographic Analysis of Maxillary. Lateral Incisors with Radicular Grooves. Yong-chun Gu. J Endod 2011;37:789–792.
Macroscopic and Microscopic Analysis of the Palato-Gingival Groove. Vanessa Soares Lara, Alberto Consolaro and Robert Scott Bruce. JOE 2000
The Radicular Groove: Its Potential Clinical Significance. James H. S. Simon, Hatice Dogan, Lee M. Ceresa, and Gary K. Silver. JOE 2000
Combined Endodontic-Periodontic Treatment of a Palatal Groove: A Case Report. Scott A. Schwartz, Michael A. Koch, David E. Deas, Charles A. Powell. Journal of Endodontics, Vol. 32, Issue 6, p573–578:2006
Combined Endodontic-Periodontal Treatment of a Palatogingival Groove. Pablo Castelo-Baz, Isabel Ramos-Barbosa, Benjamín Martín-Biedma, Ana Belén Dablanca-Blanco, Purificación Varela-Patiño, Juan Blanco-Carrión. Journal of Endodontics, Vol. 41, Issue 11, p1918–1922: 2015.
Combined Endodontic Therapy and Intentional Replantation for the Treatment of Palatogingival Groove. Iván Garrido, Francesc Abella, Ronald Ordinola-Zapata, Fernando Duran-Sindreu, Miguel Roig. Journal of Endodontics, Vol. 42, Issue 2, p324–328:2015
Choi YH, Bae JH, Kim YK, Kim HY, Kim SK, Cho BH. Clinical outcome of intentional replantation with preoperative orthodontic extrusion: a retrospective study. International Endodontic Journal, 47, 1168–1176, 2014.
Cemental Tear: Clinical Characteristics and Its Predisposing Factors. Hsueh-Jen Lin, Chiu-Po Chan, Chu-Yen Yang, Chen-Tsai Wu, Yi-Ling Tsai, Chi-Chia Huang, Kuen-Dah Yang, Chiu-Chun Lin, and others. Journal of Endodontics, Vol. 37, Issue 5, p611–618: 2011.
Clinical Fracture Site, Morphologic and Histopathologic Characteristics of Cemental Tear: Role in Endodontic Lesions. Hsueh-Jen Lin, Shu-Hui Chang, Mei-Chi Chang, Yi-Ling Tsai, Chun-Pin Chiang, Chiu-Po Chan, Jiiang-Huei Jeng. Journal of Endodontics, Vol. 38, Issue 8, p1058–1062: 2012
Cemental Tear: A Case Report of a Rare Root Fracture. Michael J. Tulkki, Michael K. Baisden, Scott B. McClanahan. Journal of Endodontics, Vol. 32, Issue 10, p1005–1007: 2006.
Treatment Outcome of the Teeth with Cemental Tears. Hsueh-Jen Lin, Mei-Chi Chang, Shu-Hui Chang, Chen-Tsai Wu, Yi-Ling Tsai, Chih-Chia Huang, Shu-Fang Chang, Ya-Wen Cheng, and others. Journal of Endodontics, Vol. 40, Issue 9, p1315–1320: 2014.
Endodontic medicine
Segura-Egea JJ, Martın-Gonzalez J, Castellanos- Cosano L. Endodontic medicine: connections between apical periodontitis and systemic diseases. International Endodontic Journal, 48, 933–951, 2015.
Periapical Lesions Decrease Insulin Signaling in Rat Skeletal Muscle. J Endod 2015;41:1305–1310.
Periapical and Endodontic Status of Type 2 Diabetic Patients in Catalonia, Spain: A Cross-sectional Study. J Endod 2011;37:598–601.
Type 2 Diabetes Mellitus and the Prevalence of Apical Periodontitis and Endodontic Treatment in an Adult Brazilian Population. J Endod 2012;38:297–300.
Glycated Hemoglobin Levels and Prevalence of Apical Periodontitis in Type 2 Diabetic Patients. J Endod 2015;41:601–606.
Blood Profile and Histology in Oral Infections Associated with Diabetes. J Endod 2014;40:1139–1144.
Outcome of Periapical Lesions in a Rat Model of Type 2 Diabetes: Refractoriness to Systemic Antioxidant Therapy.
Lima SMF, Grisi DC, Kogawa EM, Franco OL, Peixoto VC, Goncalves-Junior JF, Arruda MP, Rezende TMB. Diabetes mellitus and inflammatory pulpal and periapical disease: a review. International Endodontic Journal, 46, 700–709, 2013.
The potential association between smoking and endodontic disease. H. F. Duncan & T. R. Pitt Ford. International Endodontic Journal, 39, 843–854, 2006.
Association of tobacco use and periapical pathosis – a systematic review. International Endodontic Journal, 45, 1065–1073, 2012.
Segura-Egea JJ, Jimenez-Pinzon A, Rıos-Santos JV, Velasco-Ortega E, Cisneros-Cabello R, Poyato-Ferrera MM. High prevalence of apical periodontitis amongst smokers in a sample of Spanish adults. International Endodontic Journal, 41, 310–316, 2008.
Tobacco Smoking and Radiographic Periapical Status: A Retrospective Case-Control Study. J Endod 2012;38:584–588.
Can Apical Periodontitis Modify Systemic Levels of Inflammatory Markers? A Systematic Review and Meta-analysis. J Endod 2013;39:1205–1217.
Relationship between Smoking and Endodontic Variables in Hypertensive Patients. J Endod 2011;37:764–767.
Cotti E, Mercuro G. Apical periodontitis and cardiovascular diseases: previous findings and ongoing research. International Endodontic Journal, 48, 926–932, 2015.
Gomes MS, Hugo FN, Hilgert JB, Sant Ana Filho M, Padilha DMP, Simonsick EM, Ferrucci L, Reynolds MA. Apical periodontitis and incident cardiovascular events in the Baltimore Longitudinal Study of Ageing. International Endodontic Journal, 49, 334–342, 2016.
Association of Endodontic Infection with Detection of an Initial Lesion to the Cardiovascular System. J Endod 2011;37:1624–1629.
Endodontic Infection and Endothelial Dysfunction Are Associated with Different Mechanisms in Men and Women. J Endod 2015;41:594–600.
Unfinished Root Canal Treatments and the Risk of Cardiovascular Disease. J Endod 2015;41:1991–1996.
Association among Oral Health, Apical Periodontitis, CD14 Polymorphisms, and Coronary Heart Disease in Middle-aged Adults. J Endod 2012;38:1570–1577.
Association between Chronic Apical Periodontitis and Coronary Artery Disease. J Endod 2014;40:164–167.
Vidal F, Fontes TV, Marques TVF, Goncalves LS. Association between apical periodontitis lesions and plasmatic levels of C-reactive protein, interleukin 6 and fibrinogen in hypertensive patients. International Endodontic Journal 1-9, 2015.