endodontics on clinic

Question 1

what type of fibres are present in the tooth

Answer 1

a beta fibres
c fibres
a delta fibres

Question 2

which fibres are unmyelinated

Answer 2

c fibres

Question 3

what is the diameter of c fibres

Answer 3

0.4-1 micron

Question 4

what type of pain do we feel in c fibres

Answer 4

low dull throbbing pain

Question 5

what type of fibres are a beta fibres

Answer 5

non noxious stimuli such as mastication

Question 6

what type of fibres are a delta fibres

Answer 6

myelinated fibres

Question 7

what is the diameter of a delta fibres

Answer 7

1-5 microns

Question 8

what type of pain do we feel in a delta fibres

Answer 8

short sharp pain

Question 9

characteristics of chronic periodical inflammation

Answer 9

radiolucency on radiogrpagh but can be previously asymptomatic

Question 10

what is tx of chronic periodical inflammation

Answer 10

increased oxygen BUT the bacteria may become aerobic and the tooth flares

Question 11

what might happen to the tooth when trying to treat chronic periodical inflammation

Answer 11

Phoenix abscess

Question 12

describe chronic suppurative periapicall inflammation

Answer 12

occurs when there is a conflict of interest between the monocytes and polymorpho nucleocytes leading to the death of both

Question 13

what are some symptoms of chronic suppurative periapical inflammation

Answer 13

bad taste
tender to touch
radiolucencies may be seen

Question 14

describe cellulitis

Answer 14

Can occur following an influx of bacteria which overwhelms the bodies defence system- activates PMNL which produce pus and death of surrounding tissues

Question 15

symptoms of cellulitis

Answer 15

Pain and swelling
High feeling teeth 
Swallowing may be difficult
Breathing might be difficult 
Glossitis involvement can lead to death 
AB needed when the infection is spreading

Question 16

what is the difference between cellulitis and abscess

Answer 16

cellulitis is characterised by oedema and interference with function

abscess is a localised purulent infection due to disintegration of tissues

Question 17

how do we carry out pulp capping

Answer 17

directly capping over the pulp using resin bonded GIC or non setting CaOh

Question 18

how does pulp capping help heal a tooth

Answer 18

the pulp contains odontoblasts and stem cells which can form reactive and reactionary dentine forming a dentine bridge where the dentine was exposed

Question 19

how do we carry out a pulpotomy

Answer 19

removal of the pulp tissue and then obturation of the canal

Question 20

when do we carry out endo tx

Answer 20

before any fixed/removable prosthesis

Question 21

what do we need to warn the patient about pre endo

Answer 21

consent
estimate of cost
visits needed