Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Endo II > First Quizz > Flashcards

First Quizz Flashcards

1
Q

What’s necessary to confirm a preliminary dx?

A

Clinical and rx examinations with periodontal evaluation and clinical testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which are the 6 things to take into account for an endo dx?

A
  1. Medical-dental history
  2. Chief complaint (queja ppal)
  3. Clinical exam (Exploración física)
  4. Clinical pulpal/periapicaltesting
  5. Rx analysis
  6. Additional tests
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is a normal pulp considered?

A

Pulp without syntoms and normal response to pulp testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is considered a reversible pulpitis?

A

present discomfort at cold/hot stimulus but goes away seconds after removing it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is considered a symptomatic irreversible pulpitis?

A
  • Sharp pain upon thermal stimulus
  • Lingering pain (30+ secs after removing the stimulus)
  • spontaneity
  • referred pain
    (sometimes doesn’t bother percussion)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is considered an asymptomatic irreversible pulpitis?

A
  • no symptoms
  • normal response to thermal testing
  • Had trauma or deep caries exposing the pulp
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is considered a pulp necrosis?

A
  • causes apical periodontitis as long as tha canal is infected
  • Tooth does not respond
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is considered a normal apical tissue?

A
  • non sensitive to percussion or palpation testing
  • the lamina surrounding the tooth is intact
  • the periodontal ligament space is uniform
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is considered a symptomatic apical periodontitis?

A
  • presents inflammation of the apical periodontium
  • painful response to biting and/or to percussion or palpation
  • may or not be accompanied by rx changes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is considered a asymptomatic apical periodontitis?

A

inflammation & destruction of the apical periodontium that has a pulp origin
- no clinical symptoms
-apical radiolucency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the characteristics of a chronic apical abscess?

A
  • inflammatory reaction to pulpal infection and necrosis
  • litte o no discomfort
  • intermittent discharge of pus through a sinus tract
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is an Acute apical abscess?

A

inflammatory reaction to pulpal infection and necrosis characterized by rapid onset, spontaneous pain, sensitivity of the tooth to pressure, pus formation and swelling of associated tissues
-malaise, fever and lymphadenopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is considered a condensing osteitis?

A

diffuse radiopaque lesion as a localized bony reaction to a low-grade inflammatory stimulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which are the three main avenues of communication of the pulp and the periodontum?

A
  1. exposed dentinal tubules
  2. small portals of exit
  3. the apical foramen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which are the small portals of exit ?

A

lateral & accessory canals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when is a pulp severely affected by a periodontal disease?

A

when the periodontal disease has caused a recession that has opened a lateral or accessory canal to the oral environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what happens once the pulps becomes infected?

A

most likely to get a perirradicular lesion and inflammation in the apical tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what bacteria has been well identified as a root canal presence?

A

spirochetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are the contibuting factors for a pulp and periodontal inflammation?

A
  1. poor endodontic treatment
  2. poor restoration
  3. trauma
  4. resorption
  5. perforations
  6. developmental malformations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What information is necessary to gather pior any treatment when a dental trauma has occurred?

A
  1. px’s name, age, sex, contact #
  2. CNS symptoms after the trauma
  3. px’s gral health
  4. WHEN, WHERE & HOW
  5. tx px received elsewhelre
  6. history of previous dental injuries
  7. disturbances in the bite
  8. tooth reactions to thermal changes o sensitivity
  9. if teeth are sore to touch/eating
  10. if there’s spontaneous pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what has to be done in the case of avulsion and tooth being out of its socket?

A

place the tooth in physiological solution, milk or saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

which are the symptoms of a possible intracranial hemorrhage or a serious cerebral concussion after a head injury?

A

loss of consciousness
post traumatic amnesia
Nausea or vomiting
fluids from ear/nose
situational confusion
blurred vision
uneven pupils
dificulty to speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what might happen to the response of the tooth after a trauma?

A

the pulp might be non responsive for several weeks due to the trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what’s the aim of treating a dental trauma?

A

mantain or regain pulpal vitality in traumatized teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

which are the two groups in which the dental trauma is divided?

A

fractures & luxation injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

which are the types of fractures

A

crown
crown-root
root fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what’s a complicated fracture?

A

when the pulp is exposed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what’s an uncomplicated fracture?

A

when the pulp is NOT exposed to the oral environment

29
Q

what’s the most esthetically solution in a crown fracture?

A

to look for the broken-off tooth fragment and rebond it to the tooth

30
Q

If there is at least 0.5 mm of the dentin remaining covering the pulp in a crown fracture

A

there’s no need to cover it with a protective liner

31
Q

If there is less than 0.5 mm of the dentin remaining covering the pulp in a crown fracture

A

it’s necessary to cover the pulp with a cavity liner

32
Q

when a crown-root fracture is presented what has to be done?

A

the fracture margin has to be exposed around the tooth or crown to properly restore the tooth

33
Q

what has to be done when there’s a fracture line is in the sulcus

A

a gingivectomy to expose the fracture line and restore it appropiately

34
Q

what other treatments can be done to expose the fracture line when its further than the sulcus

A

extrude the tooth with orthodontic forces or repositionated surgically

35
Q

a crown fracture where the pulp is exposed

A

it has to be protected with a liner

36
Q

A lack of response to vitality tests after a trauma

A

doesn’t always indicate the need of a root canal treatment and it’s advisable to look for at least another signs of pulpal necrosis

37
Q

what other signs besides no reponse to vitality tests can indicate pulpal necrosis

A

vestibule swelling, periapical lesions and or a dramatic color change of the crown

38
Q

if there’s no other signs besides no response to vitality tests for pulpal necrosis what has to be done?

A

continue to monitor the px at regular appointments every three months up to 1 year

39
Q

what’s affected in all root fractures

A

the pulp

40
Q

in a root fracture if there’s enough approximation between the fragments what’s the thing most likely to occur?

A

the pulp will revascularize itself across the fracture

41
Q

T or F: All luxation injuries will cause some damage to the periodontal ligament and in some cases the pulp as well

A

True

42
Q

what’s the immediate treatment when a luxation occurs

A

limit further damage to the pdl

43
Q

what late complications can occur due to the luxation?

A

internal or external root resorptions

44
Q

In this case the tooth is still in its original location but its tender to percussion

A

concussion

45
Q

In this case the tooth is still in its original location but its tender to percussion and has increased mobility

A

subluxation

46
Q

what’s the treatment for a subluxation

A

depends on how much the tooth has moved out of its normal position

47
Q

When an
immature tooth is intruded up to 7 mm

A

it is recommended to wait 3 weeks and watch for signs of re-eruption

47
Q

When an
immature tooth is intruded up to 7 mm and shows no signs of re-eruption

A

can initiate orthodontic repositioning

47
Q

For intrusion of more than 7 mm

A

surgical or orthodontic repositioning
should be performed within three weeks

47
Q

In the case of an intruded tooth with a closed apex, there is a possibility of reeruption if

A

if the tooth is slightly intruded (less than 3 mm) and the patient is younger than 17 years old

47
Q

what’s the risk of all the intrusions after a luxation

A

the ankylose of the tooth in the infraposition

48
Q

Splinting of a luxated tooth is only recommended for teeth that

A

are still mobile after repositioning

48
Q

In all types of trauma cases, a splint must allow

A

for physiological movement

48
Q

in a luxation trauma, if the apex is still open

A

there is a chance that the pulp will survive the trauma or revascularize allowing the growth of the tooth

49
Q

in a luxation trauma, If the apex is closed

A

endodontic treatment is likely needed

50
Q

what can occur if the necrotic pulpal tissue becomes infected when there’s an injury to the pdl

A

a rapid inflammatory root resorption

51
Q

For mature teeth diagnosed
with necrotic pulps what is recommended to place for two to four weeks prior to obturation

A

calcium hydroxide

52
Q

what should we wait for before placing calcium hydroxide prior an endodontic treatment

A

allow the pdl to heal

53
Q

in the case of luxation, what is recommended for teeth with open apices

A

apexification or revascularization

54
Q

In the case of avulsion what are the conditions to have a fairly good prognosis after replanting the tooth

A

replacing no more than 30mins after o having kept it in a physiological solution of specialized media or milk for a few hrs

55
Q

in the case of avulsion, If the tooth has been dry for more than 1 hour, the periodontal ligament cannot be expected to survive and the tooth will likely become ankylosed

A

true

56
Q

in the case or avulsion, once the teeth has been reimplanted what do we use to stabilize them

A

a physiological splint for 2 weeks

57
Q

If the avulsed tooth has an open apex and was reimplanted within the hour, there is a possibility that the pulp will revascularize

A

true

58
Q

in the case of avultion and a tooth with a closed apex there’s no revascularization going to happen, so what’s the treatment that has to be done?

A

endodontic treatment

59
Q

in the case of a tooth with a closed apex when it’s time to do the endodontic treatment after the reimplantation of the tooth?

A

2 weeks after the reimplantation and prior to the removal of the splint

60
Q

early treatment or manipulation of the tooth inmmediately after reimplantation can cause

A

damage to the pdl

61
Q

placing calcium hydroxide immediately after reimplantation

A

will promote inflammation that will lead to pdl damage

62
Q

in the case of avulsion, if the tooth has been kept dry longer than 60 mins what has to be done prior to replantation

A

canal treatment

63
Q
A

Endo II (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions