Indications and contraindications Flashcards
what contraindicates RCT due to minimal bone support and mobility
insufficient periodontal support
what is classed as a non restorable tooth
extensive caries/ root caries
massive resorptive defects
poor crown/ root ratio
can you endodontically treat a tooth with vertical root fracture
no it must be extracted
would you endodontically treat 8s
only if in function
what do the roots of a tooth with taurodontism look like
very long pulp chamber that then divides into different canals in the apical third
what do the roots present as in a tooth with dens invaginatus
narrow canal in the coronal region
can you endodontically treat a tooth with internal resorption
yes
what treatment is indicated in teeth with immature apex
vital pulp therapy so dentinal wall grows stronger and apex closes over time
types of endo-perio lesions
primary endo/ secondary perio
primary perio/ secondary endo
combined
what is the difficulty assessment form and guidelines called
AAE endodontic case difficulty assessment form and guidelines
what do you do if pt at high risk of IE
refer to SDCEP guidlines
consult with cardiologist
what bleeding risk is periradicular surgery
high
what bleeding risk is endodontics
unlikely to cause
what is the criteria for a pt taking warfarin
INR below 4, continue warfarin therapy
what are the guidelines for pts on antiplatelets
do not stop medication
safe pain relief - paracetamol
safe pain relief for pt on warfarin
paracetamol
dihydrocodeine
safe antibiotics for pt on warfarin
amoxicillan
clindamycin
is tranexemic mouthwash recommended
not routinely
drug types associated with MRONJ
bisphosphonates
RANKL inhibitors
anti-angiogenic
is endodontic tx invasive
yes
pt at risk of IE
previous IE
congenital heart disease
valve replacement
types of latex allergy
type IV - allergic contact dermatitis
type I - anaphylactic reaction
in a pt with latex allergy, is it safe to use gutta percha
if allergy is type IV
and
gutta percha musnt contact the periradicular tissues
