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Endo - rezidentiat > Capitol 1 > Flashcards

Capitol 1 Flashcards

1
Q

Examen clinic exooral

A
  1. Simetrie
  2. Culoare
  3. Ansamblu facial
  4. Integritate contururi osoase
  5. ATM
    - leziuni traumatice
    - boli
    - tumefactii
    - noduli
    - fistule
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2
Q

Examen clinic endooral - Inspectie tesuturi moi

A 
mucoasa orala, faringiana, limba, planseu
1. culoare
2. consistenta
3. contur
4. textura
prezenta:
 1. traiecte fistuloase
 2. cicatrici retractile
 3. tumefactii
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3
Q

Inspectie - depistare in endo

A
  1. carii
  2. discromii
  3. abrazie
  4. atritie
  5. eroziuni
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4
Q

Pa cu sonda x P - endo

A
  1. ssb ↑ = afectiune acuta pulpa
  2. ssb + CP deschisa + hemoragie = pulpita cronica cu CP deschisa
  3. x ssb la cavitati mari x deschidere CP =
    necroza
    afectare pulpara cronica
  4. x ssb + CP deschisa = gangrena
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5
Q

Pa contur osos si mucoasa alveolara - endo

A 
- info status periapical - procese periapicale
PPA - durere
        - tumefactie/colectie submucoasa
PPC - discontinuitate corticala osoasa
        - formatiuni nodulare
        - traiect fistulos
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6
Q

Pe in endo

A

+ = PAA/pulpita totala acuta

slab + = PAC

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7
Q

Cauze mobilitate care trebuie excluse

A
  • nu sunt reversibile dupa T endo
    1. afectare parodontiu marginal
    2. fracturi radiculare
    3. parafunctii
    4. bruxism
    5. deplasari orto rapide
    6. traumatisme
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8
Q

Examinari complementare - endo

A
  1. Teste de sensibilitate
  2. Testul de masticatie
  3. Frezaj explorator
  4. Imagistic
  5. Testul de A selectiva
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9
Q

x raspuns la testele de ssb pulpara termice

A
  1. necroza pulpara
  2. T endo
  3. fals negativ
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10
Q

Stimuli reci si calzi teste ssb pulpara termice

A 
RECE
1. apa rece
2. gheata
3. clorura de etil
CALD
1. apa fierbinte
2. instrument incalzit
3. gutaperca incalzita
4. caldura polipant
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11
Q

Care dinti se testeaza in teste ssb pulpara termice?

A
  1. 1/mai multi D cu pulpa normala
  2. D omologi
  3. D vecini
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12
Q

Cauze fals pozitiv test sensibilitate pulpara termice

A
  1. imediat posttraumatism
  2. apex imatur
  3. calcificari extinse
  4. premedicatie
  5. obturatii mari
  6. P varstnici
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13
Q

Cauze rezultat fals pozitiv - teste ssb pulpara electrice

A
  1. Necroza de lichefactie
  2. Contact electrod cu tesut ggval/metal/amalgam
  3. D incorect uscat/izolat
  4. P anxios
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14
Q

Cauze rezultat fals negativ teste ssb pulpara electrice

A
  1. Traumatisme recente
  2. Contact incorect
  3. D cu apex imatur
  4. Calcificari CP si canale
  5. Premedicatie - analgezice, narcotice, alcool, tranchilizante
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15
Q

Indicatii frezaj explorator endo

A
  1. Cand exista dubii despre ssb pulpara
  2. Cand nu se pot face alte teste
  3. Cand nu se poate identifica exact D cauzator
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16
Q

Test de masticatie - endo - pe ce musca pacientul

A
  1. Rulou de vata
  2. Folie de diga impaturita
  3. Bagheta de lemn
  4. Dispozitiv Tooth Slooth
17
Q

Testul la anestezie selectiva - indicatii

A
  1. Dureri iradiante hemifaciale

2. P/examen clinic nu pot identifica D cauzator

18
Q

DG cu ajutorul Rx - endo

A
  1. Carii dentare
  2. Resorbtii radiculare
  3. PAC
  4. Fistule apico-ggvale
  5. Fracturi radiculare
  6. Morfologie atipica - taurodontism, dens in dente
19
Q

Tratament endo - Rx retroalveolar

A
  1. Radacini - numar, forma, curbura
  2. Canale - numar traseu, calibru, lungime, locatie
  3. Canale suplimentare
  4. Obturatii endo - lungime si omogenitate
  5. Odontometria
  6. Instrumente facturate pe canal - identificare si localizare
  7. Cai false radiculare
20
Q

CBCT - endo

A
  1. Decelare modificari densitate osoasa
  2. DG cu acuratete crescuta
  3. Identificare demineralizare periapicala
  4. Vizualizare 3D locatie leziune endo
  5. Creste prevalenta identificarii leziunilor endo si numarul canalelor reperate
21
Q

Indicatii CBCT in PAC cu simptome nespecifice

A
  1. Confirmare cauze neodontogene
  2. Evaluare traumatisme dento-alveolare complexe
  3. Evaluare preoperatorie sistem canalar complex
  4. Evaluare preoperatorie chiru-endo
  5. Evaluare T endo initial/reluare T endo
  6. Evaluare iatrogenii
  7. Evaluare resorbtii radiculare
22
Q

Fisa pacientului este document medicolegal - rol notare APP

A
  1. CI anestezic sau endo
  2. Temporizari tratament
  3. Antibioprofilaxie
23
Q

Motivul prezentarii in endo

A
  1. Tumefactie
  2. Halena
  3. Estetica - carii, culoare
  4. Durere
  5. Afectare masticatie
24
Q

Raspuns normal la teste de vitalitate termice

A

Intensitate moderata
De scurta durata
Inceteaza dupa indepartarea stimulului

Endo - rezidentiat (6 decks)

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