Endodontic Materials Flashcards

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1
Q

why are metal files used

A

remove soft and hard tissues
remove microorganisms
create space for disinfectants
create shape for obturation

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2
Q

what is stress concentration point on a file

A

abrupt changes in geometric shape of a file that leads to higher stress at that point

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3
Q

what is work hardening

A

strengthening of a metal by plastic deformation
crystal structure dislocation

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4
Q

what is nitinol

A

alloy of nickel and titanium

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5
Q

what does irrigation do

A

facilitate removal of debris
lubrication
dissolution of matter
penetrate to canal periphery
kill bacteria/yeasts/viruses
biofilm disruption
biological compatibility

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6
Q

what is responsible for antibacterial activity

A

hypochlorous acid made from sodium hypochlorite

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7
Q

what factors are important for sodium hypochlorite function

A

concentration
volume
contact
mechanical agitation
exchange

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8
Q

what is the smear layer made of

A

organic pulpal material and inorganic dentinal debris

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9
Q

what is the effect of the smear layer

A

bacterial contamination, substrate and interferes with disinfection
prevents sealer penetration

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10
Q

how do you remove the smear layer

A

17% EDTA
10% citric acid

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11
Q

what is the volume of sodium hypochlorite used per canal and for how long

A

30ml at least 10 minutes after canal preparation

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12
Q

what is the concentration of sodium hypochlorite used

A

3%

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13
Q

what does EDTA do

A

remove smear layer

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14
Q

what is the volume of EDTA used for canal

A

3ml

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15
Q

what is the concentration of EDTA used

A

17%

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16
Q

what are the properties of an ideal obturation material

A

easily manipulated
dimensionally stable
seals canal laterally and apically
non-irritant
impervious to moisture
unaffected by tissue fluids
inhibits bacterial growth
radiopaque
doesnt discolour tooth
sterile

17
Q

what obturator do we use

A

gutta percha

18
Q

what do sealers do

A

seal space between dentinal wall and core
fills voids in canal
lubricates during obturation

19
Q

what are the properties of an ideal sealer

A

exhibits tackiness to provide good adhesion
establishes hermetic seal
radiopacity
easily mixed
no shrinkage on setting
non-staining
bacteriostatic
slow set
insoluble in tissue fluids
tissue tolerant
soluble on retreatment

20
Q

what sealer is used

A

zinc oxide and eugenol
glass ionomer
resin sealers

21
Q

what are the advantages of epoxy resin sealers

A

paste-paste mixing
slow setting
good sealing ability
good flow
initial toxicity declines after 24hrs

22
Q

why are sealers containing paraformaldehyde not acceptable

A

they have severe and permanent toxic effects on periradicular tissues