Endodontics and Prosthodontics

Question 1

Tx of the pulp cavity

Answer 1

Endodontics

Question 2

Which teeth do we do endodontics on?

Answer 2

Canines and carnassial teeth

Question 3

What are the three types of endodontic procedures?

Answer 3

Pulp-capping, vital pulpotomy, root canal

Question 4

What procedure treats loss of enamel but no exposure of the pulp>

Answer 4

Indirect pulp capping

Question 5

What is the goal of a direct pulp cap?

Answer 5

Preserve pulp and stimulate dentinal bridge to form

Question 6

What does a direct pulp cap terat the exposure with?

Answer 6

Ca hydroxide sealer/cement, MTA

Question 7

What is the goal of a vital pulpotomy?

Answer 7

Maintain a viable tooth that will continue to mature

Question 8

Why will the tooth become dehydrated and more brittle over time without pulp?

Answer 8

Pulp is necessary to maintain dentin

Question 9

When do you want to attempt a vital pulpotomy?

Answer 9

Immature tooth w/wide pullp cavity and open apex

Question 10

How old can an animal be to do a vital pulpotomy?

Answer 10

Up to 5yr

Question 11

How long after pulp exposure will a vital pulpotomy hae the greatest success?

Answer 11

<48hr

Question 12

What are the two pulp treatment materials and which is preferred?

Answer 12

MTA (preferred) and Ca-hydroxide

Question 13

How do MTA and Ca-hydroxide work?

Answer 13

Stimulate odontoblasts to lay down a bridge of dentin to seal the pulp cavity

Question 14

What teeth can you do a root canal on?

Answer 14

Mature tooth

Question 15

Why would we prefer a root canal vs. extraction?

Answer 15

Maintains tooth function even though tooth is “dead”

Question 16

Which teeth do we do root canals in?

Answer 16

Canines and carnassials

Question 17

Which instrument removes entire pulp as a single unit?

Answer 17

Barbed broach

Question 18

What products can soften and disinfect dentin?

Answer 18

EDTA-containing products

Question 19

When would you perform a surgical root canal?

Answer 19

Obstructed canal, failed conventional techique

Question 20

Indicated to restore tooth to normal function and appearance

Answer 20

Prosthodontics

Question 21

Resin and filler particles + coupler that is chemically/light activated

Answer 21

Composite restoration material

Question 22

Polyacrylic acid and glass mix that bonds directly to dentin and enamel and releases flouride

Answer 22

Glass lonomer

Question 23

What can happen if the restoration material leaks around margins?

Answer 23

Caries formation or potentially endodontic disease

Question 24

What two types of crowns are there, which is preferred and why?

Answer 24

Porcelain and metal (preferred - can leave more tooth stock)