DECKS Flashcards
Which of the following is a clinical diagnosis based on subjective and objective findings indicating that the vital inflamed pulp is incapable of healing and has the following additional descriptors: lingering thermal pain, spontaneous pain, and referred pain?
a. Reversible pulpitis
b. Asymptomatic irreversible pulpitis
c. Symptomatic irreversible pulpits
d. None of the above
c. Symptomatic irreversible pulpits
Which of the following is an inflammatory reaction to pulpal infection and necrosis characterized by rapid onset, spontaneous pain, tenderness of the tooth to pressure, pus formation and swelling of associated tissues?
a. Symptomatic apical periodontitis
b. Acute apical abscess
c. Chronic apical abscess
d. Asymptomatic apical periodontitis
b. Acute apical abscess
Which of the following are related to vital teeth and usually do not warrant endodontic therapy?
Select 2.
a. Apical scar
b. Cementoma
c. Traumatic bone cyst
d. Radicular cyst
b. Cementoma: tooth is vital
c. Traumatic bone cyst: tooth is vital
The most superior of all other retrofilling material, mineral trioxide aggregate (MTA) has all of the following advantages, EXCEPT two. Which TWO are not properties of MTA?
a. Radiopaque
d. Easy to manipulate
c. Hydrophilic
e. Biocompatible
f. Not toxic
g. Short setting time
h. Induction of hard tissue formation
d. Easy to manipulate❌
g. Short setting time❌
The earliest and most common symptom associated with an inflamed pulp is:
a. A dull throbbing pain on mastication
b. Sensitivity to hot and/or cold stimuli
c. A persistent feeling of discomfort
d. Mild bleeding
e. Pain on percussion
b. Sensitivity to hot and/or cold stimuli
NOTES:
Thermal sensitivity is the earliest and most common symptom of an inflamed pulp.
A phoenix abscess is also known as a:
a. Recrudescent abscess
b. Granuloma
c. Cyst
d. None of the above
a. Recrudescent abscess
The chonic apical abscess is an inflammatory reaction to pulpal infection and necrosis characterized by gradual onset, little or no discomfort, and the intermittent discharge of pus through an associated sinus tract.
The acute apical abscess is an inflammatory reaction to pulpal infection and necrosis characterized by rapid onset, spontaneous pain, tenderness of the tooth to pressure, pus formation and swelling of associated tissues.
a. Both statements are true
b. Both statements are false
c. The first statement is true, the second is false
d. The first statement s false, the second is true
a. Both statements are true
A patient is diagnosed with symptomatic apical periodontitis and refuses treatment due to fear of needles. Your statement to the patient should include the fact that:
a. Eventually, the acute nature of the lesion will progress into a chronic and nonpainful lesion
b. This lesion can progress into the bone causing osteomyelitis, a more severe condition
c. The apical lesion has been there for years and the tooth needs treatment immediately
d. None of the above
b. This lesion can progress into the bone causing osteomyelitis, a more severe condition.
NOTES:
Osteomyelitis is not a particularly common disease. It is a serious sequela of periapical infection that often results in a diffuse spread of infection throughout the medullary spaces, with subsequent necrosis of a variable amount of bone.
An acute apical abscess will not respond to pulp vitality tests.
An acute apical abscess is only observed in association with a necrotic pulp.
a. Both statements are true
b. Both statements are false
c. The first statement is true, the second is false
d. The first statement is false, the second is true
a. Both statements are true
NOTES:
The first symptom of acute apical abscess may be a slight tenderness of the tooth to pressure.
Condensing Osteitis is a diffuse radiopaque lesion representing a localized bony reaction ot a low-grade inflammatory stimulus, usualy seen at apex of tooth.
Osteomyeltis is a moderate to high level inflammation of bone marrow and adjacent bone that may remain localized or spread to involve the cortex, cancellous tissue, and periosteum.
a. Both statements are true
b. Both statements are false
c. The first statement is true, the second is false
d. The first statement si false, the second is true
a. Both statements are true
A 7-year-old boy arrives at the office with a complaint that tooth #8 is draining pus into his mouth. The tooth had been traumatized earlier. The vitality tests reveal no response. What is the treatment of choice? Select 2.
a. Extraction
b. Apexogenesis / pulpotomy
c. Pulpectomy
d. Periodontal surgery to remove sinus tract
e. It is only necessary to give the child analgesics and antibiotics for pain and infection
f. Apexification
c. Pulpectomy
f. Apexification
All of the following statements regarding adjuncts to endodontic treatment are true EXCEPT one. Which one is the EXCEPTION?
a. Transplanted teeth with partial root development have a better prognosis than do those with developed roots
b. Orthodontic extrusion is commonly indicated prior to implant placement
c. Intentional replantation is a viable alternative to endodontic surgery
d. A major disadvantage of endodontic implants is the lack of an apical seal
c. Intentional replantation is a viable alternative to endodontic surgery❌
Intentional replantation is NOT viable alternative to endodontic surgery
Which of the following is the most characteristic radiographic evidence of a vertical root fracture?
a. A persistent periodontal defect
b. A radiolucent halo surrounding the root of the fracture
c. A radiopaque lesion at the sight of the fracture
d. A visible fracture when transillumination is used
b. A radiolucent halo surrounding the root of the fracture
NOTES:
Vertical root fracture: teardrop- shaped, J-shaped, or halolike radiolucency.
A patient complains of a slight tooth ache that has been “on and off” for a week. The tooth in question #18. Which of the following teeth would be optimum to use as a baseline?
a. #19 virgin, #31 occlusal sealant
b. #15 primary cavitation on occlusal and #19 virgin
c. #3 FGC and #31 virgin
d. #30 occlusal amalgam and #31 virgin
a. #19 virgin, #31 occlusal sealant
The main concept of the cone shift technique is that as the vertical or horizontal angulations of the x-ray tube head changes, the object buccal or closest to the tube head moves to the ___ side of the radiograph when compared to the lingual object.
a. same
b. opposite
b. opposite
NOTE:
SLOB RULE
Same Lingual, Opposite Buccal
Your practice is involved with a local minor hockey team, the Millwrights. A player gets hit with a stick, and his central incisors are intruded. Which of the following is the least useful examination procedure?
a. Soft tissue exam
b. Hard tissue exam
c. Radiograph
d. Vitality test
e. Percussion test
d. Vitality test
____ require endodontic treatment more often than any other tooth, while ____ have the highest endodontic failure rate.
a. Mandibular first molars, maxillary first molars
b. Mandibular first molars, maxillary second molars c. Maxillary second molars, mandibular first molars
d. Maxillary first molars, mandibular first molars
a. Mandibular first molars, maxillary first molars
All of the following are correct associations EXCEPT one. Which one is the EXCEPTION?
a. Maxillary incisors most often refer pain to the forehead region
b. Maxillary second premolars most often refer pain to the temporal region
c. Maxillary molars most often refer pain to the ear
d. Mandibular molars most often refer pain to posterior region of the neck
c. Maxillary molars most often refer pain to the ear❌
Maxillary molars most often refer pain to the zygomatic, parietal and occipital regions of the head.
NOTES:
Max CI, LI: Forehead region
Max C, PM1: Nasolabial area
Max PM2: Temporal region
Max M: Zygomatic, parietal, and occipital regions of head
Mand M: Ear, angle of jaw, or posterior regions of neck
Mandibular CI, LI, C, PM: Mental region of mandible
Max and Mand M: Opposing quadrant or to other teeth in the same quadrant
Which of the following teeth is most likely to have two canals, in fact, it has two canals most of the time?
a. Tooth #4
b. Tooth #12
c. Tooth #20
d. Tooth #28
b. Tooth #12 - maxillary first premolars almost always have two canals
One year after performing endodontic treatment on tooth #3, you take a new periapical radiograph and notice that there is still a lesion present. What is the most likely problem?
a. You failed to locate a second mesiobuccal canal
b. You failed to locate asecond distobuccal canal
c. You failed to locate a second palatal canal
d. Nothing, it takes more than 12 months for the bone to heal
a. You failed to locate a second mesiobuccal canal
The following teeth have pulp chambers that can be characterized as oval or ovoid EXCEPT.
a. Maxillary central incisor
b. Mandibular central incisor
c. Maxillary lateral incisor
d. Mandibular lateral incisor
a. Maxillary central incisor
NOTES:
MAX➖MAND
CI: Δ ➖ ⬭
LI: Δ /⬭➖ ⬭
C: ⬭➖ ⬭
PM: ⬭➖ ⬭
M: Δ / Rhomboid➖Trapezoid
The pulp chamber shape will dictate the shape of the access preparation.
Approximately what percentage of mandibular first premolars may have two canals with two apical foramina?
a. 5%
b. 20%
c. 45%
d. 65%
b. 20%
A mandibular canine typically requires a triangular access preparation.
The access should be directed slightly toward the lingual surface due to slight labial axial inclination of the crown.
a. Both statements are true
b. Both statements are false
c. The first statement is true, the second is false
d. The first statement is false, the second is true.
d. The first statement is false, the second is true.
A mandibular canine typically requires a triangular access preparation.❌
A mandibular canine typically requires a LARGE OVAL access preparation.
Which of the following teeth is most likely to have a curved root?
a. Maxillary central incisor
b. Maxillary lateral incisor
c. Maxillary canine
d. Mandibular central incisor
b. Maxillary lateral incisor