Endodontic Materials Flashcards

1
Q

What is cyclic fatigue?

A

Generation of tension/compression cycles which leads to work hardening and failure of the file.

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2
Q

What is torsional failure?

A

Results from continuing to turn the file beyond the elastic limit

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3
Q

What is work hardening?

A

Strengthening of a metal by plastic deformation
Causes crystal structure dislocation
Dislocations interact and create obstructions in a crystal lattice
Resistance to dislocation formation develops

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4
Q

What is nitinol?

A

An equiatomic alloy of nickel and titanium

Present in two forms - austenite and martensite

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5
Q

What are the components of a rotary endo instrument?

A

Taper - diameter change along working surface
Flute - groove to collect dentine & soft tissue
Cutting edge - forms and deflects dentine chips
Land - surface extending between flutes
Relief - reduction in surface of land
Helix angle

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6
Q

What is the purpose of irrigants?

A
Removal of debris
Lubrication
Dissolution of organic & inorganic matter
Kill bacteria/yeasts/viruses
Penetration to canal periphery
Biofilm disruption
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7
Q

Name an irrigant used in endo.

A

Sodium hypochlorite (NaOCl)

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8
Q

What can be used to remove the smear layer formed during canal preparation?

A

17% EDTA (used for 1 min then back to hypochlorite)
10% citric acid
MTAD

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9
Q

Why can EDTA and NaOCl not be in the root canal at the same time?

A

They deactivate each other.

Must thoroughly dry canal between use.

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10
Q

What are the ideal properties of obturation materials?

A
Easily manipulated
Ample working time
Seals the canal laterally and apically
Non-irritant
Impervious to moisture
Unaffected by tissue fluids
Inhibits bacterial growth
Radiopaque
Does not discolour tooth
Sterile
Easily removed if necessary
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11
Q

What are the components of gutta percha?

A

20% gutta percha
65% zinc oxide
10% radiopacifiers
5% plasticisers

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12
Q

How is beta phase GP produced?

A

Alpha phase heated above 65 degrees melts into amorphous phase.
If cooled slowly - returns to alpha phase.
If cooled rapidly - recrystallises as beta phase.

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13
Q

What is resilon?

A

Resin-based system (bonds to the dentine in the canal).

Thermoplastic synthetic polymer based on polymers of polyester containing bio active glass & radiopaque fillers.

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14
Q

What is the function of sealer?

A

Seals space between dentinal wall and core.
Fills voids & irregularites in canal, lateral canals and between GP points used in lateral condensation.
Lubricates during obturation.

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15
Q

What are the ideal properties of a sealer?

A
Tackiness to provide good adhesion
Establishes a hermetic seal
Radiopacity 
Easily mixed
No shrinkage on setting
Non-staining
Bacteriostatic or does not encourage growth
Slow set
Insoluble in tissue fluids
Tissue tolerant
Soluble on retreatment
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16
Q

What is the stress concentration point?

A

Abrupt changes in the geometric shape of a file that leads to a higher stress at that point.
E.g. Notches

17
Q

What are the benefits of zinc oxide as a sealer?

A

Anti microbial
Cytotoxic
Dentine adhesion

18
Q

What are the disadvantages of zinc oxide & eugenol as a sealer?

A

Not stable over long term

Over time you lose volume of sealer (dissolves) so you will lose apical seal

19
Q

What sealers can be used in endodontics?

A
Zinc oxide & eugenol
Glass ionomer sealers
Resin sealers e.g. Epiphany, EndoRez
Calcium silicate sealers
Medicated sealers