Periodontics quiz Basic Quiz 11 Endo-Perio Lesions (According to 2017 Classification) (Basics) Results Congratulations! Sorry, more knowledge next time! #1. In the new classification of periodontal diseases, endo-perio lesions are categorised as: Periodontal disease with special features A form of gingival disease Necrotizing periodontal disease and conditions A combined periodontal and endodontic lesions A result of systemic conditions #2. Which of the following is most likely to cause an endo-perio lesion? Periodontal infection with root surface exposure Gingival recession with subsequent bone loss Poor oral hygiene leading to plaque accumulation Trauma to the tooth leading to pulp necrosis Deep caries extending into the pulp #3. In the management of an endo-perio lesion, what is the first step in treatment? Extraction of the affected tooth Surgical resection of the periodontal tissues Periodontal debridement and flap surgery Thorough root canal therapy Surgical removal of the affected root #4. The presence of which of the following signs would most likely indicate an endo-perio lesion rather than a simple periodontal abscess? Absence of mobility and calculus Intact lamina dura in peri-apex A sinus tract or fistula extending from the apex of the tooth Deep periodontal pockets with generalised attachment loss Severe gingival bleeding with minimal swelling #5. What is the typical radiographic appearance of an endo-perio lesion? Widening of the periodontal ligament space Apical radiolucency extending into the periodontal ligament Loss of bone height with generalised radiopaque areas Overhangs or restorations seen at the apex Horizontal bone loss with no apical involvement #6. Which of the following is an important factor to consider when distinguishing between endo-perio lesions and periodontitis? The presence of tooth mobility and calculus The association with pulp necrosis or irreversible pulpitis The presence of calculus deposits and stains The duration of the disease process and remissions The presence of bacteria resistant on antibiotics #7. How should an endo-perio lesion primarily be treated if the periodontal and endodontic issues are both severe? Root canal treatment first, followed by periodontal surgery Periodontal surgery first, followed by root canal treatment Antibiotic therapy followed by surgical resection Extraction of the tooth Localized debridement followed by scaling and root planing #8. Which of the following best describes the prognosis of an endo-perio lesion? The prognosis depends on the success of both endodontic and periodontal therapy The prognosis is generally poor, requiring extraction in most cases The prognosis is good if it can only be treated with surgery The prognosis is similar to simple periodontal disease The prognosis is better if the periodontal lesion is treated first #9. Which of the following conditions is most commonly associated with the development of endo-perio lesions? Poor oral hygiene and deep caries Periodontal disease with intact pulp Orthodontic treatment with poor oral hygiene Traumatic injury leading to pulp necrosis Systemic conditions like diabetes and atherosclerosis #10. What is the most critical factor in determining whether a tooth with an endo-perio lesion can be saved or should be extracted? The depth of periodontal pockets The success of endodontic treatment The depth of caries lesion The response to antibiotic therapy The patient’s systemic health status Previous Finish