Canal Obturaiton...1 - Visit Endo Flashcards

1
Q

What is the goal of Obturation?

A
  • Replicate rot canal system
  • Maintain materials inside
  • Tight seal to fluids, bacteria, byproducts
  • Seal in bacteria
  • Seal out nutrients
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2
Q

How long should you disinfect GP prior to use?

A

6% NaOCl Immersion - 60 seconds

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3
Q

What is the material breakdown of Gutta Percha?

A
  • Zinc Oxide: 56 - 75%
  • Gutta - Percha: 19 - 22 %
  • Metal Sulfates: 2 - 17%
  • Waxes & Resins: 1 - 4%
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4
Q

What is the goal of Root Canal Cement (Roth Sealer)?

A
  • Binding Agent
  • Lubricant
  • Filler
  • Seals areas not filled by GP
  • Seals accessory canals
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5
Q

What is the material breakdown of Root Canal Cement (Roth Sealer)?

A

Powder

  • Zinc Oxide: 42%
  • Staybelite Resin: 27%
  • Bismuth Subnitrate: 15%
  • Barium Sulfate: 15%
  • Sodium Borate Anhydrous: 1%

Liquid

  • Eugenol: 100%
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6
Q

What is an alternative to GP?

A

Resilon

  • GP Alternative
  • Synthetic polyester…
  • Bioactive glass, radiopaque fillers
  • Dual-cure resin composite sealer
  • “Monoblock” bonds to dentin (all materials bonded)
  • Handling similar to GP
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7
Q

What are 4 criteria we assess for ideal endodontic obturation?

A
  • Legnth
  • Taper
  • Density
  • Apical Width
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8
Q

What factors usually lean a dentist to completing an Endo in one visit?

A
  • Pt unable to return
  • Medically impaired
  • Vital
  • Estehtic Concerns
  • Negative per pathosis
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9
Q

What factors usually lean a dentist towards a multi-visit endo?

A
  • Canal system infection
  • Most retreatments
  • Acute apical symptoms
  • Weeping canal
  • Difficult case
  • Sinus tract
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