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dental assisting mda > Endodontics Chapter 54 > Flashcards

Endodontics Chapter 54 Flashcards

1
Q

endodontic treatment is AKA

A

root canal therapy

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2
Q

Physical irritation is caused by what 3 things

A

decay moving to the pulp, heat, extensive restorations

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3
Q

what’s an example of pulpal nerve damage caused by trauma

A

a blow to the tooth or jaw

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4
Q

what are some symptoms of pulpal nerve damage

A

pain, swelling, sensitivity, fever, tenderness of gums and cracked/discoloured teeth

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5
Q

what is an abscess

A

localized collection of pus from a bacterial infection

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6
Q

exudate is another word for

A

a localized area of pus

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7
Q

a periodontics abscess is located where

A

around the tooth

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8
Q

a endodontic abscess is located where

A

within the tooth

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9
Q

periradicular abscesses are a inflammatory reaction to __

A

pulpal infection

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10
Q

what are periodontal abscess caused by

A

bacteria that is trapped within the periodontal pocket

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11
Q

what is a subjective examination

A

an evaluation of everything described by the pt

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12
Q

an objective examination is conducted by the

A

endodontist. consists of all findings after tests

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13
Q

a percussion test is used to determine how far inflammatory process has extended into the tissues, how is the test completed?

A

dentist taps on occlusal and incisal edges with the mouth mirror handle parallel to long axis of tooth to determine pain response

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14
Q

how is the control tooth determined

A

ideally the healthy tooth of same type in a different quadrant. ex, 1.4 is problem, 2.4 would be the control

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15
Q

is the control or tooth in question tested first

A

the control

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16
Q

how is a palpation test completed

A

by applying firm pressure to the mucosa above the apex of the root

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17
Q

thermal sensitivity tests are completed by holding hot or cold on which surface of the tooth to check for response?

A

the facial surface

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18
Q

thermal stimulus should never be used on

A

metallic restorations or gingival tissues

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19
Q

what item is used for a cold test

A

dry ice or carbon dioxide

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20
Q

what item is used for the heat test

A

a piece of gutta percha heated up

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21
Q

does necrotic pulp response to any hot or cold stimuli

A

no

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22
Q

electric pulp testing is a

A

small electrical stimulus delivered to the pulp to determine vitality

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23
Q

what is used for electric pulp testing

A

a tester, toothpaste as conducter placed on the cervical third of the tooth

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24
Q

what type of radiograph is most ideal for endodontic treatment

A

periapicals

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25
Q

a good endo film consists of

A

an accurate image with 3-4mm past the apex and good contrast

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26
Q

a working length image is taken when

A

the canals are open/ middle of procedure

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27
Q

what is normal pulp

A

a tooth that response is normal to stimulus, healthy layer of dentin surrounding the pulp

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28
Q

irreversible pulpitis produces different reactions to thermal stimulus, those being -

A

pain relief to cold and or extreme pain that lingers

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29
Q

a heat test is least useful for diagnostics because a painful response indicates

A

either reversible or irreversible pulpitis

30
Q

does necrotic pulp respond to heat or cold

A

no

31
Q

pulpitis is the

A

inflammation of dental pulp

32
Q

periradicular cysts are found

A

at or near the root of a tooth

33
Q

periradicular refers to tissues that

A

surround the tooth

34
Q

what is a fistula

A

abnormal passage or drainage leading from an abscess to the surface of skin

35
Q

an incision and drain procedure is preformed on teeth with ___ as a ___

A

teeth with apical abscesses for a temporary pain relief

36
Q

indirect pulp capping is the technique used when

A

decay is near the pulp but not exposed pulp

37
Q

direct pulp capping is for when the pulp is

A

partially or fully exposed

38
Q

what dental material is used for pulp caps

A

calcium hydroxide to initiate reparative dentin

39
Q

pulpotomy is the procedure in which

A

the coronal portion of pulp is removed

40
Q

pulpectomy is preformed to remove

A

all of the dental pulp to prep for RCT

41
Q

an endodontic explorer has longer working ends and shanks in order to

A

locate and examine canals

42
Q

the endo spoon excavator is used to

A

remove nonvital pulp. Has longer shanks than most spoon excavators

43
Q

Spreaders have pointed working ends and are used to

A

fill canals and adapt gutta percha with lateral forces

44
Q

Pluggers have a blunt end similar to condensers and are used to

A

fill and condense gutta percha downwards in the canals

45
Q

The glick #1 is similar to a woodson, with a paddle and rod shaped ends. What are they used for?

A

The paddle is used for temporary restoration placement and the rod is used to place gutta percha

46
Q

Hand files are color coded, what do the colours indicate

A

the sizes

47
Q

Ktype files are used for the ___ and ___

A

initial debridement and shape/contour of canals

48
Q

Hedstrom/htype files are used to ___ due to they’re greater cutting ability

A

for the final enlargement of canals

49
Q

reamer files are used to remove dentin and

A

smooth & increase canal size

50
Q

broaches have tiny teeth like projections and are used to

A

remove inflamed viral pulp tissue & remove cotton products

51
Q

extripation is the

A

removal of inflamed pulp tissue

52
Q

rotary files are ___ type files used in the low speed

A

latch type

53
Q

gates glidden files are a rotary file used to

A

enlarge pulp canals

54
Q

what shape are gates glidden files

A

football shaped

55
Q

Pesso files are used for

A

post preparation for final restorations

56
Q

what is used to maintain the working length on a file

A

rubber stops

57
Q

paper points are a single use ancillary instrument that are for

A

drying the canals

58
Q

sodium hypochlorite, EDTA, and chlorahexadine are all forms of

A

irrigation solutions that remove excess materials from canals and provide disinfection and hemorrhage control to prep canals for filling material

59
Q

root canal sealers are a ___ material that seals all voids in the canal prior to obtruration

A

cement

60
Q

lentulo spirals are used in the low speed to

A

disperse sealer in the canals

61
Q

obturation is the

A

filling of canals

62
Q

apicoectomy is the

A

surgical removal or the apical portion of the root. typically followed by a retrograde restoration

63
Q

what is a retrograde restoration

A

a root end filling

64
Q

apical cutterage is the

A

surgical removal of diseased tissue surrounding the apex of the root

65
Q

root amputation is the removal of one or more roots in a multi rooted tooth without removing the

A

crown

66
Q

what is a hemisection

A

the division of a tooth through the long axis

67
Q

after placement of a dental dam, what is used to disinfect the area

A

iodine solution or sodium hypochlorite solution

68
Q

what type of bur is used for the initial entry into the tooth

A

a round bur

69
Q

how is working length determined

A

using the highest point of the incisal/occlusal surface

70
Q

debridment of the canals can be achieved 2 ways, those being

A

mechanical (hand files) or chemical (irrigation)

71
Q

what is the main gutta percha point called

A

the trial point or master point

72
Q

what produces better retention of the gutta percha

A

blunting the ends prior to placement

dental assisting mda (35 decks)

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