1) Ex 33 on page 97 in our book
Tooth 1.6 has a negative response to cold test + an isolated deep narrow pocket and the patient complains of discomfort in the upper right area. How can we differentiate endo-perio lesion and VRF in that case?
2) Ex 35 on page 99
Tooth 1.6 after successful initial treatment has 5mm pocket + BOP + Buccal grade II furcation involvement, no mobility. For the treatment of b-II furcation involvement, we choose GTR+ bone graft. Should we also choose open flap debridement with apically positioned flap for the 5mm pocket with BOP?
Tooth 1.7 has 6 mm pocket with BOP( disto-vestibular and disto-lingual ) and tooth 1.8 is absent. My question is should we include this pocket as a periodontal case? If not, Should we treat this non-periodontal case with perio surgery? And how do we treat other non-periodontal cases? I remember that there are 5 non-periodontal cases, but I am not sure of the treatment options. Could you check them, please? 1- gingival recession of traumatic origin - treatment is mucogingival surgery procedures 2- Dental caries extending in the cervical area of the tooth - resto treatment, what can we do after with the presence of CAL? 3- The presence of CAL on the distal aspect of a second molar and associated with the extraction of a 3rd molar - distal wedge 4 - endo - perio lesion - RCT 5- VRT - extraction
1) If the tooth was endodontically treated, in that case you would answer VRF. Also, it is usually associated with sharp pain on biting not mild discomfort.
2) The chart in the book does not match the chart in the video (Perio -exercise 5). There are some differences and the question is also different. The question in the book says INITIAL management, and in that case the answer would be E. Open flap debridement with apically positioned flap, and M. Distal wedge.
If the question was just about the management, not specifying "initial management" then you would add GTR and bone Graft.
As for non perio cases, well its variable and depends on many things, the additional info part, the chart, and the options provided in template. That being said, I can come up with endless scenarios, right? Generally speaking, your treatment choices are correct, however, it depends on what you have to work with