Adv. Dental Procedures Flashcards

1
Q

When is periodontal surgery attempted?

A

After conservative measures have been attempted w/o success.

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2
Q

What is GTR?

A

Guided tissue regeneration

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3
Q

What is the goal of periodontal surgery?

A

Eliminate pockets trapping subgingival plaque and calculus and prevent it from returning.

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4
Q

How is hyperplastic gingiva treated?

A

Gingivectomy

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5
Q

What is an Oronasal fistula

A

An abnormal opening between the oral & nasal cavities, found especially in dolichocephalic shaped heads.

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6
Q

What is the time frame for vital pulpotomy?

A

within 48 hours of the fracture of the mature tooth.

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7
Q

What is endodontic therapy?

A

Treatment of the dental pulp; live or dead to prevent or treat infection.

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8
Q

What is the most common indication that endodontic therapy is needed?

A

A fractured tooth.

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9
Q

What may discolored teeth represent?

A

Pulp hemorrhage caused by trauma.

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10
Q

What are some advantages to root canal therapy?

A
Less traumatic & less invasive
More aesthetically pleasing to owner
Cost is equivalent to surgical extraction
Can go back to routine
No missing teeth
Increased quality of life.
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11
Q

What are some equipment needed for Root Canal Therapy?

A

Barbed broaches, reamers, files, irrigating needles, mixing slab, spatula, spreaders and pluggers.

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12
Q

Describe a broach.

A

Made from soft wire creating barbs, used to remove intact pulp, dirt, gravel or grass

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13
Q

Describe a file/reamers.

A

Used to clean the canal, remove dead infected tissues, twisted metal rods. Done by twisting file down to the access site (apex

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14
Q

Describe a K-file / hedstrom

A

Stronger the higher the number, triangular rod creating cutting flutes, inner-stacked cones. Done by doing a straight pull of the file, to cleanse & shape the coronal or incisal portion of the canal.

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15
Q

Describe a Endodontic stop

A

Rubber material on the file for marking the length

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16
Q

How are K-files identified

A

Color coated to identify size, mm length, diameter is the size of the file on the working end

17
Q

Describe some common irrigation materials.

A

Sodium hyperchlorite: Breaks down & remove organic material
Chlorhexidine: Disinfects, flushes out debris
Saline
RC prep: EDTA, helps break down the inorganic material

18
Q

What is ZOE?

A

Zinc oxide & Eugenol-based sealant, to prevent bacteria, non-irritating antimicrobial agent. Mix thoroughly, dip gutta-percha, place in the canal

19
Q

What is Gutta-percha

A

Most popular core material**, non-irritating, highly condensable, helps remove voids in the sealer to provide a better seal at the apex. Supplied in different sizes & lengths, made from rubber.

20
Q

Describe pluggers

A

Have blunted tips, used to compact the gutta-percha

21
Q

Describe spreaders

A

Have sharp tip, used for laterally compacting gutta-percha

22
Q

What is Restorative Dentistry?

A

To protect the tooth after endodontic therapy, to restore the form and function of the damaged tooth* applied to dry surface

23
Q

Which is stronger (Amalgam or composites)

A

Amalgams (silver alloys)

24
Q

Do Class I Glass ionomers require a moisture free area for application?

A

No

25
Q

What is the best choice for restoration of posterior chewing teeth?

A

Crowns

26
Q

What is a normal occlusion?

A

A scissor bite where lower incisors occlude on the cingulum on the palatal incisors

27
Q

What is a Class 1 malocclusion?

A

Has normal occlusion with 1 or more teeth out of alignment or rotated. (base narrow canines)

28
Q

What is a Class 2 malocclusion?

A

Mandibular premolars and molars positioned behind the normal relationship (brachygnathism, overbite)

29
Q

What is a Class 3 malocclusion?

A

Premolars and molars are positioned anterior to the normal relationship (prognathism)

30
Q

What is a Wry bite?

A

Different length of the two jaws, genetically transmitted.

31
Q

What does Guided Tissue Regeneration do?

A

Increases height of attachment. Infected tissues removed, disinfected and new GTR membrane attached to tooth.