Jane's Endo Money! Flashcards
Kortegaard HE, Anthony Knudsen T, Dahl S, Agger JFG, Eriksen T. Consequences of crown shortening canine teeth in Greenland sled dogs. Journal of Small Animal Practice. 2015;56(4):264-269.
What is the increase in risk from having crowns shortened on the tooth level and on the dog level?
12 x on the tooth level
4 x on the dog level
Kortegaard HE, Anthony Knudsen T, Dahl S, Agger JFG, Eriksen T. Consequences of crown shortening canine teeth in Greenland sled dogs. Journal of Small Animal Practice. 2015;56(4):264-269.
What does the author state as another common cause of pulp exposure?
•Dogs are living in a rocky environment, chained up and fed semi-thawed food, so incidental fractures are also common
Kortegaard HE, Anthony Knudsen T, Dahl S, Agger JFG, Eriksen T. Consequences of crown shortening canine teeth in Greenland sled dogs. Journal of Small Animal Practice. 2015;56(4):264-269.
by what factor does having pulp exposed increase risk of periapical pathology?
109x
Riehl J, Hetzel SJ, Snyder CJ, Soukup JW. Detection of Pulpal Blood Flow In Vivo with Pulse Oximetry in Dogs. Frontiers in Veterinary Science. 2016;3(MAY).
How often were readings obtained compared to the control region?
25% of the time
Riehl J, Hetzel SJ, Snyder CJ, Soukup JW. Detection of Pulpal Blood Flow In Vivo with Pulse Oximetry in Dogs. Frontiers in Veterinary Science. 2016;3(MAY).
Did the pulse rate match? How much was the SPO2 different by?
Nope,
usually about 10 points lower
Hale FA. Localized intrinsic staining of teeth due to pulpitis and pulp necrosis in dogs. Journal of Veterinary Dentistry. 2001;18(1):14-20.
In what proportion of teeth were there signs of total or partial pulp necrosis?
92%
Hale FA. Localized intrinsic staining of teeth due to pulpitis and pulp necrosis in dogs. Journal of Veterinary Dentistry. 2001;18(1):14-20.
What proportion of teeth had radiographc changes consistent with endodontic disease?
57%
Hale FA. Localized intrinsic staining of teeth due to pulpitis and pulp necrosis in dogs. Journal of Veterinary Dentistry. 2001;18(1):14-20.
What was the calculated risk of unnecessary endodontic treatment?
<10%
Feigin K, Shope B. Regenerative Endodontics. J Vet Dent. 2017;34(3):161-178.
What are 3 requirements for tissue engineering?
- 3 requirements for tissue regeneration:
- Appropriate source of stem cell/progenitor cells
- Growth factors that are capable of promoting stem cell differentiation
- Appropriate scaffold for the regulation of cell differentiation
Feigin K, Shope B. Regenerative Endodontics. J Vet Dent. 2017;34(3):161-178.
What are 3 goals of treatment?
- Primary: Elimination of infection and bony healing
- Secondary: Increased root wall thickness/length
- Tertiary: Positive response to vitality testing
Feigin K, Shope B. Regenerative Endodontics. J Vet Dent. 2017;34(3):161-178.
for what age of patient is this suggested in vet med?
pets of 5 months – 2 years
Feigin K, Shope B. Regenerative Endodontics. J Vet Dent. 2017;34(3):161-178.
What would be te expected timeframe for radiographic changes with success?
•Radiolucency should resolve over 6-12 months, Increase width of root wall after 12-24 months
Juriga S, Marretta SM, Niederberger V. Mineral trioxide aggregate (MTA) for apexification of non-vital immature permanent teeth. J Vet Dent. 2007;24(4):274-277.
What is apexification?
•Apexification is a method of inducing the formation of a calcified barrier in a root with an open apex or the continued apical development of an incompletely formed root in teeth with necrotic pulp
Clarke DE. Vital pulp therapy for complicated crown fracture of permanent canine teeth in dogs: A three-year retrospective study. Clarke DE. Journal of Veterinary Dentistry. 2001;18(3):117-121
What proportion of teeth were vital in each group at 3 months?
All teeth, all groups
Clarke DE. Vital pulp therapy for complicated crown fracture of permanent canine teeth in dogs: A three-year retrospective study. Clarke DE. Journal of Veterinary Dentistry. 2001;18(3):117-121
What proportion of teeth were vital in each group at 1 year?
<48 hours - 95%
2d-1 week - 50%
3 weeks - 25%
Clarke DE. Vital pulp therapy for complicated crown fracture of permanent canine teeth in dogs: A three-year retrospective study. Clarke DE. Journal of Veterinary Dentistry. 2001;18(3):117-121
What proportion of teeth were vital in each group at 3 years?
<48h - 88%
2d-1 week - 41%
3 weeks - 23%
Luotonen N, Kuntsi-Vaattovaara H, Sarkiala-Kessel E, Junnila JJT, Laitinen-Vapaavuori O, Verstraete FJM. Vital pulp therapy in dogs: 190 cases (2001–2011). Journal of the American Veterinary Medical Association. 2014;244(4):449-459.
What was the failure rate?
15%
Luotonen N, Kuntsi-Vaattovaara H, Sarkiala-Kessel E, Junnila JJT, Laitinen-Vapaavuori O, Verstraete FJM. Vital pulp therapy in dogs: 190 cases (2001–2011). Journal of the American Veterinary Medical Association. 2014;244(4):449-459.
What was the success rate and the no evidence of failure rate?
success - 73%
NEF - 12%
overall 85% success
Luotonen N, Kuntsi-Vaattovaara H, Sarkiala-Kessel E, Junnila JJT, Laitinen-Vapaavuori O, Verstraete FJM. Vital pulp therapy in dogs: 190 cases (2001–2011). Journal of the American Veterinary Medical Association. 2014;244(4):449-459
what was the success rate for MTA?
92%
Luotonen N, Kuntsi-Vaattovaara H, Sarkiala-Kessel E, Junnila JJT, Laitinen-Vapaavuori O, Verstraete FJM. Vital pulp therapy in dogs: 190 cases (2001–2011). Journal of the American Veterinary Medical Association. 2014;244(4):449-459
What was the success rate for CaOH?
58%
Luotonen N, Kuntsi-Vaattovaara H, Sarkiala-Kessel E, Junnila JJT, Laitinen-Vapaavuori O, Verstraete FJM. Vital pulp therapy in dogs: 190 cases (2001–2011). Journal of the American Veterinary Medical Association. 2014;244(4):449-459
What were factors in the univariate analysis?
dressing material
distinct intraop hemmorhage
penetration of dressing into pulp
use of ab’s (inc failure)
Luotonen N, Kuntsi-Vaattovaara H, Sarkiala-Kessel E, Junnila JJT, Laitinen-Vapaavuori O, Verstraete FJM. Vital pulp therapy in dogs: 190 cases (2001–2011). Journal of the American Veterinary Medical Association. 2014;244(4):449-459
What were factors in the multivariate analysis and odd ratio?
use of CaOH - 6x risk of failure
deep penetration of the dressing material into the pulp - 5 x risk of failure
Luotonen N, Kuntsi-Vaattovaara H, Sarkiala-Kessel E, Junnila JJT, Laitinen-Vapaavuori O, Verstraete FJM. Vital pulp therapy in dogs: 190 cases (2001–2011). Journal of the American Veterinary Medical Association. 2014;244(4):449-459
were time from fracture or formation of a dentin bridge significant?
nope
Results of root canal treatment in dogs: 127 cases (1995–2000)
Helena Kuntsi-Vaattovaara, DVM; Frank J. M. Verstraete, DrMedVet, DAVDC; Philip H. Kass, DVM, PhD, DACVPM
JAVMA, Vol 220, No. 6, March 15, 2002
What were the percentages of success, failure and NEF?
success 69% (my favourite number)
NEF 26%
failed 6%