ENDO Revision Flashcards
Define Endodontology
the study of the form, function and health of dental pulp and periradicular region
Describe Apical Region in terms of oxygen, nutrient, type of bacteria and access.
- lower oxygen
- nutrients from the periradicular tissues
- more anaerobes
- bacteria is harder to access for treatment
Describe Coronal Region in terms of oxygen, nutrient and access.
- more oxygen
- nutrients from oral cavity
- bacteria easier access for treatment
2 Types of Bacteria in the Root Canals.
Planktonic - free floating in the fluid
Biofilm
What is a Biofilm?
aggregation of microorganisms growing on a solid substrate
How Resistant is a Biofilm?
- anti-microbial penetration = poor
- difficult to remove mechanically
What do we Use to Break up the Biofilm? Why?
Sodium Hypochlorite
- tissue dissolving properties
How does Bone Loss Come About?
the inflammatory response NOT THE BACTERIA
What do We Rely on for Diagnosis?
patient symptoms
Define SOCRATES for a correct diagnosis
Site
Onset
Character
Radiation
Alleviation
Time
Exacerbation
Severity
Sensitivity Diagnosis Tools
- hot and cold - ethyl chloride or endo ice
- electric pulp test
- radiograph
What can you Use If all the Symptoms are there but Cant See a Lesion on the Radiograph?
CBCT imaging
- takes 3D images
Disadvantage of CBCT
higher dosage
What is the Issue with Multi-Rooted Teeth?
false positives
a healthy canal can give good result whilst there is a necrotic canal
Is a Rubber Dam Necessary?
yes
