Endo Flashcards
Examples of non surgical endi
Pulpectomy (full removal of pulp)
Pulpotomy (partial removal of pulp)
Pulp capping
What is the definition of endodontics?
All forms if pulp and root treatment
Surgical endo treatment
Apicetomy
When does pulpitis occur?
Due to... Tooth fracture Caries Accidental exposure Chemical irritation Severe trauma without fracture Irritation Thermal injury
Difference between reversible and irreversible pulpitis?
Reversible:
Treated using restoration
Doesn’t cause pulp death
Irreversible:
Pulp death - partial/complete
Possible extraction
Requiring surgical endo
How is an abcess treated?
Incise and drain
Drain through canal
Antibiotics (amoxicillin, eryth, met)
What type of infection is an abscess?
Acute
Diagnosis?
Exam
Vitality testing
Radiographs
Methods of testing vitality?
Hot Cold (ethyl chloride) Electric pulp testing Discolouration Drill
How many radiographs should be taken when endo is performed
5
Stages of radiographs for endo treatment
Initial Working length Final instrumentation Post canal obturation Review
What are the complications if endo?
Nerve damage Brittle teeth 70-80% success rates Oroantral fistula (hole) Possible extraction
What is another word for Pulpectomy
Root canal treatment
What does a barbed broach do?
Extirpate the pulp
What does a root reamer do
Enlarge root canals
What does an endo file do
Enlarge, shape & clear root canals
What does an irrigation syringe/solution (bleach/sodium hypochlorite) do?
Irrigate canals
Remove debris
What does a metal ruler do?
Measure the working length of canals
What does an apex locator do?
Determine the working length of canals
What does a spiral paste filler do?
Spin canal sealant material into canals
What does a lateral condenser/finger spreader do?
Condenses gotta percha points into root canals
What does ledermix do? (Antiseptic paste)
Dress infected canals
What is cresophene used for?
It is soaked onto paper points before insertion into infected canals
What do gutta percha points do?
Obturate (widen) root canals
What is sealing cement used for?
Helps insertion of gp points and seals off root canals (tubliseal)
What is the Bunsen burner/obturator used for?
To heat gp points to obturator canals
What is lubricating gel used for?
To ensure instruments do not snap or snap canal walls (used with files and reamers)
What are gates gliddens used for?
Used to gain access to root canals
What do paper points do?
Dry root canals
What is the aim of an open apex root filling?
To form denture barrier on immature teeth
What is calcium hydroxide used for?
Encourage secondary denture to form apical barrier
What are the two forms of pulp capping?
Direct (when exposed with bleeding)
Indirect (near to exposure)
(Maintains vitality of tooth)
Calcium hydroxide - setting
Stimulates formation of secondary dentine
What happens after pulp capping?
Deciduous teeth - exfoliate
Permanent teeth - observe/endo
What does a apicectomy involve?
Surgical
Remove infected apex of tooth and infected tissue
Save tooth when rct isn’t possible/fails
Alternative before XLA
What does a periosteal elevator do?
Raise gingival flap
What do Surgical hand piece/ burs do?
Remove bone/infected tissue
What is a Mitchell’s trimmer/surgical currette used for?
Remove infected tissue
What does restoration materials do?
Seal canals
What do sutures do?
Hold tissue together/aid healing
How can swallowing an endodontics instrument be prevented?
Rubber dam
