difficulty assessing endo

Question 1

difficulties

Answer 1

1) minimal
- normal trained dentist can do
2) moderate
- can be problematic
- need experience for consistent result
3) high
- challenging even for endodontists

Question 2

considerations

Answer 2

1) patient cooperation
2) ability to open the mouth
3) gag reflex
4) emergency conditions
5) diagnostic and treatment conditions
6) radiographic difficulties
7) tooth position in arch, rotation or tipping
8) tooth isolation
9) morphological aberrations
10) canal and root morphology
11) resorption
12) endodontic treatment history

Question 3

resorption

Answer 3

1) body’s attack on the tooth since it believes part of it is not long part of the host
- immune cells
- multinucleated giant cell
2) extensive apical, internal, external
3) resorptions are universal on teeth involving the root surface and the root canal

Question 4

resorption etiology

Answer 4

1) inflammation lesion
2) periodontal disease
3) orthodontic
4) pressure resorption from trauma

Question 5

area attacked by resorption

Answer 5

1) resorptions attacks DENTIN because there is more protein
2) dentin is often exposed at CEJ

Question 6

what precipitates it

Answer 6

1) injury, bacteria, ortho

Question 7

calcium hydroxide therapy

Answer 7

1) antimicrobial
2) stimulate bone and dentin
3) shut down resorptive cells
4) denature protein that the cells attack