Endo Flashcards

0
Q

Examples of non surgical endi

A

Pulpectomy (full removal of pulp)
Pulpotomy (partial removal of pulp)
Pulp capping

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1
Q

What is the definition of endodontics?

A

All forms if pulp and root treatment

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2
Q

Surgical endo treatment

A

Apicetomy

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3
Q

When does pulpitis occur?

A
Due to...
Tooth fracture
Caries
Accidental exposure
Chemical irritation
Severe trauma without fracture
Irritation
Thermal injury
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4
Q

Difference between reversible and irreversible pulpitis?

A

Reversible:
Treated using restoration
Doesn’t cause pulp death

Irreversible:
Pulp death - partial/complete
Possible extraction
Requiring surgical endo

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5
Q

How is an abcess treated?

A

Incise and drain
Drain through canal
Antibiotics (amoxicillin, eryth, met)

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6
Q

What type of infection is an abscess?

A

Acute

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7
Q

Diagnosis?

A

Exam
Vitality testing
Radiographs

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8
Q

Methods of testing vitality?

A
Hot
Cold (ethyl chloride)
Electric pulp testing
Discolouration
Drill
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9
Q

How many radiographs should be taken when endo is performed

A

5

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10
Q

Stages of radiographs for endo treatment

A
Initial
Working length
Final instrumentation
Post canal obturation
Review
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11
Q

What are the complications if endo?

A
Nerve damage
Brittle teeth
70-80% success rates
Oroantral fistula (hole)
Possible extraction
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12
Q

What is another word for Pulpectomy

A

Root canal treatment

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13
Q

What does a barbed broach do?

A

Extirpate the pulp

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14
Q

What does a root reamer do

A

Enlarge root canals

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15
Q

What does an endo file do

A

Enlarge, shape & clear root canals

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16
Q

What does an irrigation syringe/solution (bleach/sodium hypochlorite) do?

A

Irrigate canals

Remove debris

17
Q

What does a metal ruler do?

A

Measure the working length of canals

18
Q

What does an apex locator do?

A

Determine the working length of canals

19
Q

What does a spiral paste filler do?

A

Spin canal sealant material into canals

20
Q

What does a lateral condenser/finger spreader do?

A

Condenses gotta percha points into root canals

21
Q

What does ledermix do? (Antiseptic paste)

A

Dress infected canals

22
Q

What is cresophene used for?

A

It is soaked onto paper points before insertion into infected canals

23
Q

What do gutta percha points do?

A

Obturate (widen) root canals

24
Q

What is sealing cement used for?

A

Helps insertion of gp points and seals off root canals (tubliseal)

25
Q

What is the Bunsen burner/obturator used for?

A

To heat gp points to obturator canals

26
Q

What is lubricating gel used for?

A

To ensure instruments do not snap or snap canal walls (used with files and reamers)

27
Q

What are gates gliddens used for?

A

Used to gain access to root canals

28
Q

What do paper points do?

A

Dry root canals

29
Q

What is the aim of an open apex root filling?

A

To form denture barrier on immature teeth

30
Q

What is calcium hydroxide used for?

A

Encourage secondary denture to form apical barrier

31
Q

What are the two forms of pulp capping?

A

Direct (when exposed with bleeding)
Indirect (near to exposure)

(Maintains vitality of tooth)

32
Q

Calcium hydroxide - setting

A

Stimulates formation of secondary dentine

33
Q

What happens after pulp capping?

A

Deciduous teeth - exfoliate

Permanent teeth - observe/endo

34
Q

What does a apicectomy involve?

A

Surgical
Remove infected apex of tooth and infected tissue
Save tooth when rct isn’t possible/fails
Alternative before XLA

35
Q

What does a periosteal elevator do?

A

Raise gingival flap

36
Q

What do Surgical hand piece/ burs do?

A

Remove bone/infected tissue

37
Q

What is a Mitchell’s trimmer/surgical currette used for?

A

Remove infected tissue

38
Q

What does restoration materials do?

A

Seal canals

39
Q

What do sutures do?

A

Hold tissue together/aid healing

40
Q

How can swallowing an endodontics instrument be prevented?

A

Rubber dam