ch 54 Flashcards
endodontics
what does periradicular mean?
around the root
what does periapical mean?
around the apex
what is the definition of endodontics?
specialty that treats dental pulp
what are the symptoms of pulpal damage?
sensitivity, discomfort, pain, biting pain, gum redness, fever, swelling, cracked/discolored teeth, mobility
which vitality test do we perform the least?
heat test
what is irreversible pulpitis?
pulp that needs treatment
what are the two ways pulps can become damaged?
physical irritation, trauma
how do we treat a tooth with irreversible pulpitis?
root canal
what is pulp capping?
bandaid to seal off pulp; hope it heals; “IRM”
what is reversible pulpitis?
pulp heals without treatment
what are the two different types of pulp caps?
direct; directly on the nerve
indirect; very close to nerve (not bleeding)
how can we describe a hedstrom file?
christmas tree (santa on top)
how can we describe a barbed broach?
barbed wire
what is gutta percha?
rct filling material, pink, melts, rubber like
list all the steps of a rct procedure.
numb, isolate, access hole, debride (clean), irrigate, paper point, obturate
what does it mean to debride a canal?
clean it out
what is an abscess?
localized area of infection or pus
explain subjective vc objective exams
s: patient tells us
o: observed by doctor
which type of tests can tell us if the pulp is inflamed?
palpation and percussion
what does it mean if a tooth is positive to percussion or palpation tests?
inflammation is present; needs rct
what is a thermal sensitivity test?
hot/cold used to test vitality
what happens if a tooth is necrotic? will our testing always work?
no, tooth could be dead
list and explain the xray sequence for a root canal procedure
1 - initial
2 - working length
3 - final instrumentation
4 - final completion
5 - recall
what is the diagnosis if the pulp has a decrease in living cells?
pulp fibrosis
