Endodontics Flashcards
What is endodontics?
Endodontics encompasses the study (practice) of the basic and
clinical sciences of normal dental pulp, the aetiology ,diagnosis,
prevention, and treatment of diseases and injuries of the dental pulp
along with associated peri radicular conditions.
What are examples of endodontal diseases?
Pulpal disease * Apical disease * Serious odontogenic infection * Other Non endodontic disease
What is dental pulp?
Dental pulp is an unmineralized tissue composed of soft connective tissue, vascular, lymphatic and nervous elements that occupies the central pulp cavity of each tooth. It is soft tissue encased in hard tissue.
What is apical periodontitis?
- Apical periodontitis (also termed periapical periodontitis) is an acute or chronic inflammatory lesion around the apex of a tooth root, which is caused by bacterial invasion of the pulp of the tooth.
What is dental Caries?
Destruction of dental hard tissue by acid produced by bacteria utilising dietary sugar. (and time)
* Bacteria ( micro organisms ) infect pulp and cause pulpal disease.
* The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats
When the pulp becomes inflamed it can result in toothache- what is reversible and irreversible pulpitis?
Reversible pulpitis- remove decay, cover tooth and it functions * Irreversible pulpitis- remove root or tooth, damage to nerve
What is a dental Abscess?
dental abscess - a localized collection of pus that forms inside the
teeth or gums which essentially initiate from bacterial infection.
What are clinical features of dental abscesses?
Clinical features
Intraoral features of dental abscess include pain,
swelling, and erythema, whereas, extraoral
symptoms comprise fever, swelling, tenderness
to palpation, regional lymph node enlargement,
spasm in the muscles (Flynn, 2000) in addition
to trismus, hoarseness, and drooling
What is a Radicular cyst ?
Arises from cell rests of mallassez, in the periodontal ligament usually in response to inflammation after pulp death.
What special tests can you do to test nerve health?
Tap tooth, chlorohexine on cotton swab, heat up prob tab tooth see if sensitive to heat.
What are three other causes for periodontal treatment other than caries?
- Trauma
- Periodontal disease
- Iatrogenic damage- damage from dentist
What treatment can you do in regards to endodontics?
Root canal treatment
* Root canal re treatment
* Peri radicular surgery
* Extraction
* Incision and drainage
What can be severe complications of a abscess?
pulmonary pleural
* retropharyngeal
* intracranial infection
Are most cases of caries and endodontic treatment preventable?
yes
What can prevent problems escalating to hospital admissions?
Time intervention
