Jane's Endo Money! Flashcards

1
Q

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?

A

12 x on the tooth level

4 x on the dog level

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2
Q

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?

A

•Dogs are living in a rocky environment, chained up and fed semi-thawed food, so incidental fractures are also common

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3
Q

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?

A

109x

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4
Q

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?

A

25% of the time

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5
Q

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?

A

Nope,

usually about 10 points lower

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6
Q

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?

A

92%

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7
Q

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?

A

57%

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8
Q

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?

A

<10%

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9
Q

Feigin K, Shope B. Regenerative Endodontics. J Vet Dent. 2017;34(3):161-178.

What are 3 requirements for tissue engineering?

A
  • 3 requirements for tissue regeneration:
    1. Appropriate source of stem cell/progenitor cells
    1. Growth factors that are capable of promoting stem cell differentiation
    1. Appropriate scaffold for the regulation of cell differentiation
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10
Q

Feigin K, Shope B. Regenerative Endodontics. J Vet Dent. 2017;34(3):161-178.

What are 3 goals of treatment?

A
  • Primary: Elimination of infection and bony healing
  • Secondary: Increased root wall thickness/length
  • Tertiary: Positive response to vitality testing
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11
Q

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?

A

pets of 5 months – 2 years

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12
Q

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?

A

•Radiolucency should resolve over 6-12 months, Increase width of root wall after 12-24 months

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13
Q

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?

A

•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

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14
Q

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?

A

All teeth, all groups

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15
Q

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?

A

<48 hours - 95%

2d-1 week - 50%

3 weeks - 25%

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16
Q

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?

A

<48h - 88%

2d-1 week - 41%

3 weeks - 23%

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17
Q

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?

A

15%

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18
Q

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?

A

success - 73%

NEF - 12%

overall 85% success

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19
Q

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?

A

92%

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20
Q

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?

A

58%

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21
Q

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?

A

dressing material

distinct intraop hemmorhage

penetration of dressing into pulp

use of ab’s (inc failure)

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22
Q

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?

A

use of CaOH - 6x risk of failure

deep penetration of the dressing material into the pulp - 5 x risk of failure

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23
Q

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?

A

nope

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24
Q

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?

A

success 69% (my favourite number)

NEF 26%

failed 6%

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25
Q

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 factors were associated with increased risk of failure?

A

Pulp necrosis

Pre-existing periapical lucency

pre-operative external inflammatory root resorption

26
Q

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

Which teeth were more likely to fail?

A

canines, mandibular fourth premolars and mandibular first molars

compared to maxillary P4’s

27
Q

Fulton AJ, Fiani N, Arzi B, Lommer MJ, Kuntsi-Vaattovaara H, Verstraete FJM. Outcome of surgical endodontic treatment in dogs: 15 cases (1995-2011). Journal of the American Veterinary Medical Association. 2012;241(12):1633.

What were the proportions of success, failure and NEF?

A

success - 66%

NEF - 33%

no failures

28
Q

Fulton AJ, Fiani N, Arzi B, Lommer MJ, Kuntsi-Vaattovaara H, Verstraete FJM. Outcome of surgical endodontic treatment in dogs: 15 cases (1995-2011). Journal of the American Veterinary Medical Association. 2012;241(12):1633.

What were the top 3 reasons?

A

instrument separation (5)

failure despite appropriate fill (4)

stenotic canals (3)

29
Q

Fulton AJ, Fiani N, Arzi B, Lommer MJ, Kuntsi-Vaattovaara H, Verstraete FJM. Outcome of surgical endodontic treatment in dogs: 15 cases (1995-2011). Journal of the American Veterinary Medical Association. 2012;241(12):1633.

what were the most common complications?

A

haemorrhage, perforation of palatal bone plate, maxillary swelling

30
Q

Radiographic outcome of root canal treatment of canine teeth in cats: 32 cases (1998–2016). Strøm PC, Arzi B, Lommer MJ, et al. Journal of the American Veterinary Medical Association. 2018;252(5):572-580.

What were the proportions of success, NEF and failure?

A

success - 49%

NEF - 32 %

Fail - 19%

31
Q

Radiographic outcome of root canal treatment of canine teeth in cats: 32 cases (1998–2016). Strøm PC, Arzi B, Lommer MJ, et al. Journal of the American Veterinary Medical Association. 2018;252(5):572-580.

What was overfilled canal associated with?

A

vertical compaction with thermoplastic GP

32
Q

Radiographic outcome of root canal treatment of canine teeth in cats: 32 cases (1998–2016). Strøm PC, Arzi B, Lommer MJ, et al. Journal of the American Veterinary Medical Association. 2018;252(5):572-580.

What were factors associated with failure?

A
  • Pre-existing EIRR (10x increase - sig)
  • Age at time of RCT (older worse - sig)
  • obturation voids in the apical third (5x worse, but not significant - small numbers)
  • Time since procedure (Treatment success declined steadily past 2 years post treatment)
33
Q

Stein KE, Marretta SM, Siegel A, Vitoux J. Comparison of hand-instrumented, heated gutta-percha and engine-driven, cold gutta-percha endodontic techniques. Journal of Veterinary Dentistry. 2004;21(3):136-145.

What was the difference in time between the two techniques?

A

rotary 50% faster

34
Q

Stein KE, Marretta SM, Siegel A, Vitoux J. Comparison of hand-instrumented, heated gutta-percha and engine-driven, cold gutta-percha endodontic techniques. Journal of Veterinary Dentistry. 2004;21(3):136-145.

What was the difference in leakage between the two techniques?

A

No apical dye leakage associated with rotary instruments/simplifill/GP technique compared to 44% apical leakage in K-file hand instruments and Succesfil technique.

35
Q

Apical Microleakage in Root Canals Obturated With 2 Different Endodontic Sealer Systems in Canine Teeth of Dogs. J Vet Dent. Lothamer CW, Anderson A, Hetzel SJ, et al. 2017;34(2):86-91.

what differences were ther ebetween AH plus and gutta flow for leakage?

A

no difference in prevalence (21% in AH+, 23% in GF)

36
Q

Apical Microleakage in Root Canals Obturated With 2 Different Endodontic Sealer Systems in Canine Teeth of Dogs. J Vet Dent. Lothamer CW, Anderson A, Hetzel SJ, et al. 2017;34(2):86-91.

what differences were there between AH plus and gutta flow for leakage depth?

A

AH+ 6.7mm

GF 2.8mm

NSD

37
Q

Apical Microleakage in Root Canals Obturated With 2 Different Endodontic Sealer Systems in Canine Teeth of Dogs. J Vet Dent. Lothamer CW, Anderson A, Hetzel SJ, et al. 2017;34(2):86-91.

What are the key properties of AH+?

A
  • Epoxy amide sealer, 2 tubes, mix equal parts
  • Temperature dependent polymerization, working time of 4 hours, setting time of 8 hours
  • Low solubility 0.3%, shrinkage of 1.7%
  • Older AH 26 released formaldehyde, AH plus releases 3.9ppm
  • Cytotoxic for 4 hours (working time)
38
Q

Apical Microleakage in Root Canals Obturated With 2 Different Endodontic Sealer Systems in Canine Teeth of Dogs. J Vet Dent. Lothamer CW, Anderson A, Hetzel SJ, et al. 2017;34(2):86-91.

What are the key properties of gutta flow?

A
  • Guttaflow 2
  • Silicone based sealer addition polymerization reaction with platinum salt as a catalyst
  • Working time is 10 15 minutes, cure time 25 30 minutes
  • Expands on polymerization by 0.2%
  • Solubility of 0%
  • Non toxic in tissue, but will be encased in fibrous tissue
39
Q

Hernandez SZ, Negro VB, Maresca BM. Morphologic features of the root canal system of the maxillary fourth premolar and the mandibular first molar in dogs. Journal of Veterinary Dentistry. 2001;18(1):9-13.

how common are non apical ramifications overall?

A

25% of roots

40
Q

Hernandez SZ, Negro VB, Maresca BM. Morphologic features of the root canal system of the maxillary fourth premolar and the mandibular first molar in dogs. Journal of Veterinary Dentistry. 2001;18(1):9-13.

which root has the highest incidence?

A

distal root max P4 - 47%

41
Q

Hernandez SZ, Negro VB, Maresca BM. Morphologic features of the root canal system of the maxillary fourth premolar and the mandibular first molar in dogs. Journal of Veterinary Dentistry. 2001;18(1):9-13.

How common are NAR’s overall in MAx P4’s and Mand M1’s?

A

, 68.0 of maxillary fourth premolar

20.4’% of mandibular first molar teeth

significant difference

42
Q

Hernandez SZ, Negro VB, Maresca BM. Morphologic features of the root canal system of the maxillary fourth premolar and the mandibular first molar in dogs. Journal of Veterinary Dentistry. 2001;18(1):9-13.

What is the typical length of the apical delta? Which teeth commonly had a longer one?

A

1-3 mm

Mandibular M1’s 17% longer than 3mm

43
Q

Hernandez SZ, Negro VB, Maresca BM. Morphologic features of the root canal system of the maxillary fourth premolar and the mandibular first molar in dogs. Journal of Veterinary Dentistry. 2001;18(1):9-13.

How common are secondary, lateral and accessory canals?

A

secondary 20% of roots

Lateral 7% of roots

accessory 1.5% of roots

44
Q

Hernandez SZ, Negro VB, Maresca BM. Morphologic features of the root canal system of the maxillary fourth premolar and the mandibular first molar in dogs. Journal of Veterinary Dentistry. 2001;18(1):9-13

What is the difference between secondary, accessory and lateral canals?

A

called canals secondary if in the apical 1/3 of the root, called them lateral if they were in the coronal 2/3 of the root. Called them accessory if they branched from a secondary

45
Q

Hernandez SZ, Negro VB, Maresca BM. Morphologic features of the root canal system of the maxillary fourth premolar and the mandibular first molar in dogs. Journal of Veterinary Dentistry. 2001;18(1):9-13

What amount of tooth was recommended to remove for apicoectomy?

A

4-6mm

46
Q

Negro VB, Hernandez SZ, Maresca BM, Lorenzo CE. Furcation canals of the maxillary fourth premolar and the mandibular first molar teeth in cats. Journal of Veterinary Dentistry. 2004;21(1):10-14.

what proportion of cats have a furcation canal in at least 1 tooth?

A

44.5%

47
Q

Negro VB, Hernandez SZ, Maresca BM, Lorenzo CE. Furcation canals of the maxillary fourth premolar and the mandibular first molar teeth in cats. Journal of Veterinary Dentistry. 2004;21(1):10-14.

What proportion of all teeth examined had a furcation canal?

A

27%

48
Q

Negro VB, Hernandez SZ, Maresca BM, Lorenzo CE. Furcation canals of the maxillary fourth premolar and the mandibular first molar teeth in cats. Journal of Veterinary Dentistry. 2004;21(1):10-14.

what was the average width and range?

A

104 um and range 25-250

49
Q

Scanning Electron Microscopic Evaluation of Tooth Root Apices in the Dog
Sabás Z. Hernández, DVM, PhD; Viviana B. Negro, DVM, PhD; Georgina de Puch ,
Paula G. Toriggia , DVM

Which teeth had significantly more foramina?

A

Mandibular M1’s

50
Q

Scanning Electron Microscopic Evaluation of Tooth Root Apices in the Dog
Sabás Z. Hernández, DVM, PhD; Viviana B. Negro, DVM, PhD; Georgina de Puch ,
Paula G. Toriggia , DVM

What was the average diameter of the foramina?

A

32-35 um

51
Q

Scanning Electron Microscopic Evaluation of Tooth Root Apices in the Dog
Sabás Z. Hernández, DVM, PhD; Viviana B. Negro, DVM, PhD; Georgina de Puch ,
Paula G. Toriggia , DVM

85% of foramina were below what diameter?

A

50 um

52
Q

Scanning Electron Microscopic Evaluation of Tooth Root Apices in the Dog
Sabás Z. Hernández, DVM, PhD; Viviana B. Negro, DVM, PhD; Georgina de Puch ,
Paula G. Toriggia , DVM

what was the maximum diameter?

A

234 um

53
Q

Scanning Electron Microscopic Evaluation of Tooth Root Apices in the Dog
Sabás Z. Hernández, DVM, PhD; Viviana B. Negro, DVM, PhD; Georgina de Puch ,
Paula G. Toriggia , DVM

how many foramina did P4’s, canines and M1’s have on average?

A

P4 - 36

Canine - 38

M1 - 57

54
Q

Almansa Ruiz JC, Bosman AM, Steenkamp G. Bacterial Profile of Necrotic Pulps in Cheetah (Acinonyx Jubatus) Canine Teeth. J Zoo Wildl Med. 2016;47(1):98-105.

What were the results with culture?

A
  • 55% G+ 45% G-
  • Facultative anaerobes 63%, aerobes 28%, anaerobes 8.5%
55
Q

Almansa Ruiz JC, Bosman AM, Steenkamp G. Bacterial Profile of Necrotic Pulps in Cheetah (Acinonyx Jubatus) Canine Teeth. J Zoo Wildl Med. 2016;47(1):98-105.

What were the results with PCR?

A

anaerobes (60.8%),

facultative anaerobes (30.2%),

aerobes (8.6%).

56
Q

Almansa Ruiz JC, Bosman AM, Steenkamp G. Bacterial Profile of Necrotic Pulps in Cheetah (Acinonyx Jubatus) Canine Teeth. J Zoo Wildl Med. 2016;47(1):98-105.

What were the best antibiotics?

A

•Amikacin and gentamicin

57
Q

Almansa Ruiz JC, Bosman AM, Steenkamp G. Bacterial Profile of Necrotic Pulps in Cheetah (Acinonyx Jubatus) Canine Teeth. J Zoo Wildl Med. 2016;47(1):98-105.

What were the worst antibiotics?

A

•Lyncomycin and Lincospectin and orbifloxacin were the worst

58
Q

Srečnik Š, Zdovc I, Javoršek U, Pirš T, Pavlica Z, Nemec A. Microbiological Aspects of Naturally Occurring Primary Endodontic Infections in Dogs. Journal of Veterinary Dentistry. 2019:0898756419873639.

How many bacterial species were cultured?

A

•61 isolates cultured representing 30 bacteria

59
Q

Srečnik Š, Zdovc I, Javoršek U, Pirš T, Pavlica Z, Nemec A. Microbiological Aspects of Naturally Occurring Primary Endodontic Infections in Dogs. Journal of Veterinary Dentistry. 2019:0898756419873639.

What was found as the duration of fracture increased?

A

•number of isolates cultured decreased

60
Q

Srečnik Š, Zdovc I, Javoršek U, Pirš T, Pavlica Z, Nemec A. Microbiological Aspects of Naturally Occurring Primary Endodontic Infections in Dogs. Journal of Veterinary Dentistry. 2019:0898756419873639.

What was the bacterial profile?

A
  • 54% were Gram-negative bacteria, 46% gram positive
  • 53% were facultative anaerobic, and 42% were anaerobic bacteria, 5% aerobes.
61
Q

Srečnik Š, Zdovc I, Javoršek U, Pirš T, Pavlica Z, Nemec A. Microbiological Aspects of Naturally Occurring Primary Endodontic Infections in Dogs. Journal of Veterinary Dentistry. 2019:0898756419873639.

What was concluded with regards to species?

A

•naturally occurring primary endodontic infections in dogs are polymicrobial and involve a select number of opportunistic pathogen species, which are part of the normal oral flora of dogs.