Complex root canal treatments Flashcards

1
Q

How long do you follow up root canal treatment radiogrpahically after treatment

A

1 year after treatment
further follow up for up to 4 years

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2
Q

when is root canal retreatment indicated

A

persistent peri-apical pathology following rct
new peri-apcial patholgoy associated with a root filled tooth
a new restoration planned for a tooth and shows inadequate root canal

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3
Q

prevention of post treatment disease

A

rubber dam isolation
proximity of preparation to apical constriction
sufficient taper of preparation
adequate irrigation and placement of interappointment medicament
correct extension of root canal obturation
adequeate coronal seal to prevent re-infection

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4
Q

most common odontogenic cyst of inflammatory origin

A

radicular cyst

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5
Q

types of radicular cyst

A

true cyst
pocket cyst

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6
Q

what is a true cyst

A

lesion enclosed by epithelial lining

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7
Q

what is a pocket cyst

A

epithelial sac communicates with root canal system

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8
Q

factors for planning retreatment

A

is it a strategic tooth
how much coronal tooth structure
what is the periodontal support
is periapical disease present
are aesthetics issues
technical difficulties shown radiogrpahically

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9
Q

risk of access through existing crowns

A

high risk of perforation

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10
Q

how to remove crowns

A

wamkey
crown removers

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11
Q

2 main techniques for post removal

A

ultrasonic energy
post pulling devices

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12
Q

preferred technique for removal of GP

A

protaper gold instruments

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13
Q

when is a Hedstorm files and solvent useful

A

single cone obturation or poorly compacted gutta percha

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14
Q

what is an ultrasonic useful for

A

to remove gutta percha from the pulp chambre and entrance into the canals

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15
Q

when is heat useful

A

softens and remvoes gutta percha
useful when removing coornal gutta percha for post placement

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16
Q

carrier based gutta percha removal

A

thermafil
guttacore