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DT2 > DT 3 Endodotics > Flashcards

DT 3 Endodotics Flashcards

1
Q

Define endodontics

A

treatment of the dental pulp

and the tissues that surround the root of the tooth

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2
Q

Education required for Endodontics

A

DDS requires 3 years

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3
Q

what was done historically to relieve tooth pain ?

A

pulp chambers were covered with gold foil or asbestos

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4
Q

year endodontics was recognized as specialty

A

1963

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5
Q

WHO describe removal of pulp tissues?

A

Pierre Fauchaud

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6
Q

How does endodontic disease occur?

A

infected/inflammation of pulp tissue and nerves

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7
Q

cause of pulp inflammation/infection

A

physical damage by decay, or injury

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8
Q

abscess?

A

a localized area of pus

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9
Q

What affect does chronic damage to the pulp have?

A

Nercosis

dead blood vessels of tooth

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10
Q

symptoms of pulpal nerve damage

A

pain during mastication

sensitivity to hot/cold

noticeable facial swelling

Fever

Crack/discolored tooth

TEnder gingiva

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11
Q

Fracture

A

Tooth is broken

chewing on hard foods,

grinding your teeth at night,

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12
Q

Avulsion

A

displacement of a tooth from its socket in alveolar bone due to trauma

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13
Q

When is endodontics indicated?

A

pulpal nerve damage

fractured

avulsion

tooth is structurally sound enough to be restored back to function,

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14
Q

contraindications to endodontic treatment

A

-tooth not structurally sound

extensive coronal damage

bone loss

tooth loose

root fracture

infection

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15
Q

subjective examination

A

evaluation of symptoms or problems described by the patient/ history of the patient’s pain.

(what we hear)

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16
Q

objective examination

A

evaluation of the status of the tooth and surrounding tissues

(what we see)

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17
Q

The first logical diagnostic tools for ENDO ar:

A

exam and radiographs

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18
Q

Diagnostic test: control tooth vs. suspect tooth

A

control tooth is healthy tooth of the same type

suspect tooth - tooth bothering pt

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19
Q

The purpose of percussion

A

determine if inflammation has reached the periapical tissues.

tapping on incisal and occlusal with mirror handle

20
Q

The palpation test

A

helps detect sensitivity / swelling

done by applying firm pressure to the mucosa above the apex of the root.

21
Q

tooth Mobility test

A

uses 2 mirror handle ends

normal mobility is 1-2 mm

22
Q

Thermal Test _COLD

A

no response- pulp is dead

cold relive pain= irreversible pulpitis

cold painful= irreversible pulpitis

23
Q

Thermal Test

A

not as reliable as cold test

positive response = irreversible pulpitis

24
Q

electric pulp test

A

delivers a small electrical stimulus to the pulp

can’t be used with patients who have pacemakers.

25
Q

Radiographs taken for Endo

A

Pariapical

26
Q

Aa Diagnostic Periapical is taken to determine ____

A

abscess or inflammation present

27
Q

of Radiographs RCT procedures

A

3
PA during- detemine canal length

PA after- make sure canal filled

PA recalls- make sure no re-infection and seal is maintained

28
Q

Bleaching non-vital

A

tooth dies and the pulp is not removed BLOOD cause stain

tooth opened on lingual

pulp cleaned and bleached applied

repeated after 3-7 days

29
Q

Hemisection

A

root and crown split lengthwise and removed

typically done on MANDBILUAR molars

30
Q

Apicoectomy

A

removal of apical area of root that has PREVIOUS RCT

Root apex and abscess removed using a bur and sutured

31
Q

e

A

d

32
Q

Endo procedure: Open and drain

A

tooth is drilled, dental pulp is removed

tooth is left open so the abscess can continue to drain

2nd appt= pt. return for the RCT to seal the tooth

33
Q

Pulpotomy

A

Removing the coronal portion of an exposed pulp

covering it with a sedative dressing to preserve pulp vitality

34
Q

Emergency pulpectomy

A

dental pulp is removed

the canals are filled and topped with a filling

Performed on vital primary teeth and

35
Q

Root canal therapy involves

A

access to pulp through crown

removal of infected pulp

cleaning RC space

filling space with material

place filling on top

36
Q

RCT : Single appointment

A

everything complete in 1 appointment

typically 60 to 120 min

37
Q

RCT: Multi appointments

A

2-3 appt to complete

60-90 min appt

often booked 1-3 weeks apart

38
Q

RCT Calcified Canals

A

secondary dentin fills canal due to aging

makes it difficult to access pulp

39
Q

RCT Exceptional Anatomy

A

root are slightly curved

40
Q

RCT: Difficult Access

A

there are limited openings

41
Q

RCT is succeful __% of time

A

90-95% of the time-

42
Q

Indications for RCT surgical intervention

A

endo infection

fractured/curved roots

43
Q

Delay in RCT will lead to

A

Intrinsic Stains

44
Q

non vital bleaching is done on

A

tooth that has RCT but is stained from blood that leaked into dental tubules

45
Q

Indirect Pulp Cap

A

pulp tissue is visible through dentin

46
Q

Direct pulp cap

A

pulpal exposure after decay is removed

DT2 (9 decks)

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