Endodontics Materials Flashcards

1
Q

what are endodontic instruments used for??

A
  • mechanical phase of chemo mechanical disinfection
  • used to remove soft & hard tissues
  • removes micro-organisms
  • creates spaces for disinfectants/medicaments
  • creates appropriate shape for obturation
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2
Q

what is the elastic limit?

A

a set value representing the maximal strain that when applied to a file, allows the file to return to original dimensions

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3
Q

what is elastic deformation?

A

reversible deformation that does not exceed elastic limit

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4
Q

what is plastic deformation?

A

permanent bond displacement occurring when elastic limit exceeded

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5
Q

what are the purposes of Irrigants in endodontic treatments?

A
  • facilitate removal of debris
  • lubrication
  • dissolution of organic and inorganic matter
  • penetration to canal periphery
  • kill bacteria/yeasts/viruses
  • biofilm disruption
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6
Q

What is the plastic limit?

A

The point at which a plastic deformed file breaks

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7
Q

How can endodontic instrument failure be prevented?

A
  • training and proficiency in the NiTi system of choice
  • create a manual glide path
  • use an electric speed and torque controlled motor
  • NiTi should be used in constant motion using gentle pressure
  • use of rotary files in abruptly curved or dilacerated canals should be avoided
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8
Q

what are the classifications of endodontic instruments?

A
  • manually operated
  • low-speed instruments
  • engine-driven nickel-titanium rotary instruments
  • engine-driven instruments that adapt to canal shapes
  • engine-driven reciprocating instruments
  • ultrasonic instruments
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9
Q

What benefit does chromium give to stainless steel instruments?

A

prevents rusting

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10
Q

what is work hardening?

A

Strengthening of a metal by plastic deformation
- causes crystal structure dislocation
- these dislocations interact and create obstructions in crystal lattice
- resistance to dislocation formation develops

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11
Q

what is Nitinol?

A

Equiatomic alloy of nickel and titanium

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12
Q

What are shape memory alloys?

A

materials that can be deformed at one temperature but when heated or cooled, return to their original shape

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13
Q

what are the properties of the NiTi crystal structure?

A
  • temperature dependant structures martensite and austenite
  • crystal lattice structure altered by temperature or stress
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14
Q

what is the Martensite form of NiTi like?

A

soft and ductile
- easily deformed

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15
Q

what is the Austenitic form of NiTi like?

A

strong and hard

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16
Q

What are the components of an endodontic rotary instrument?

A
  • taper
  • flute
  • leading/cutting edge
  • land
  • relief
  • helix angle
17
Q

what is a commonly used irrigant in Endodontic procedures?

A

Sodium Hypochlorite (NaOCl)

18
Q

How is the smear layer removed typically? what else can be used?

A

17% EDTA
- (10% citric acid)

19
Q

How long should EDTA be placed in the canal?

A

penultimate rinse for 1 min

20
Q

what occurs if EDTA interacts with NaOCl?

A

Para-chloroaniline formed
- cytotoxic and carcinogenic

21
Q

what would the properties of an ideal obturation material be?

A
  • easily manipulated with ample working time
  • dimensionally stable
  • 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
22
Q

What is the most common endodontic core material?

A

Gutta-percha

23
Q

What type of gupta-percha is used in dental procedures?

A

Beta phase gutta percha

24
Q

What are the constituents of gutta percha cones?

A
  • 20% gutta percha
  • 65% zinc oxide
  • 10% radiopacifiers
  • 5% plasticisers
25
Q

what is the function of sealers in endodontics?

A
  • seals space between dentinal wall and core
  • fills voids and irregularities in canal, lateral canals and between gutta percha points
  • lubricates during obturation
26
Q

What would the properties of an ideal sealer be?

A
  • exhibits tackiness to provide good adhesion
  • establishes a hermetic seal
  • radiopacity
  • easily mixed
  • no shrinkage on setting
  • non staining
  • bactériostatique
  • slow set
  • insoluble in tissue fluids
  • tissue tolerant
  • soluble on retreatment
27
Q

What is typically used as a sealer?

A

Resin sealers (epoxy resin)

28
Q

Why are glass ionomer sealers problematic?

A

Removal upon re-treatment is difficult due to bonding to dentine

29
Q

What resin sealer is used in the dental hospital ?

A

AH plus

30
Q

how long does AH plus take to set?

A

8 hours