L.10 PULP Therapy 2 Flashcards
Research behind Pulpotomy techniques: out of FMC, Laser, CaOH, or FS…which material had the best 2yr follow up? Which had the worst?
Best:FMC…Worst:FS
Research behind Pulpotomy techniques: out of MTA, FS, FMC, and ZOE alone….which material had the best 2 yr follow up? Which had the worst?
Best: MTA….Worst:ZOE alone
Indirect Pulp Therapy: about how much caries do you leave in the tooth?
about 1mm left until pulp exp (how the hell do you know that)
What are the 3 materials used in an indirect pulp therapy?
1.Gi (or RMGi) 2.CaOH 3.ZOE (or IRM)
Vital pulp therapy success in the primary ______ molar was significantly lower than the primary _____ molar, mostly due to the lower pulpotomy success in the primary _____ molar
first lower than second….first
Teeth treated with FP had a significantly earlier ________ than those with IPT.
exfoliation
When comparing FMC to IPT…which had the better long term prognosis?
IPT by far
You can do a pulpotomy on every primary tooth except!!!!
the primary 1st molars
In a pulpectomy….OBTURATE WITH ______ followed by ______ OR _______
obturate with VITAPEX….followed by ZOE or GI
When doing a pulpectomy, what size is the minimum for reaming the canals? What do you flush with?
35…1% NaHClO
What are the two materials you NEVER use to obturate a primary pulpectomy?
NO IRM nor MTA
ZOE vs VitaPex for pulpectomy obturation…Which had better 16 mo success?
VitaPex
DIRECT Pulp Cap in immature permanent tooth: what are the three layers for the restoration?
After hemostasis….1.MTA (orBioCeramic, or CaOH) (2-4mm) 2.Gi (or RMGi) 3.restporative material
In a pulpotomy of a immature permanent tooth the goal is to remove only what is needed to reach non-inflammed tissue/hemostasis @__-__ mm
1-3mm
In a pulpotomy of a immature permanent tooth Irrigate with NaClO up to ____ minutes
10 minutes HOLY SHIT
In a pulpotomy of a immature permanent tooth what are the two materials we DO NOT USE?
FMC nor FS..we want Apexogenesis! (not to clot and kill the pulp)
What are the three materials used for an Indirect Pulp Cap in an Immature permanent tooth?
- Gi/rmgi 2.CaOH 3.ZOE
What is the most unique thing about an Indirect Pulp Cap for permanent teeth vs a pedo tooth?
You reenter permanent teeth in 3-6 months to remove caries
When do we do Apexification? Vital or Non-Vital?
NON vital… we are doing a root canal essentially
What are the 3 layers of a final Apexification procedure?
MTA…Gutta Percha…restoring material
In a pulpectomy of an immature tooth, what material do you use for medication for 24 hrs after removal of the tissue?
MTA!
What are the 4 antibiotics you might Rx for Acute Facial Swelling?
1.Amoxicillin 2.Cephalexin 3.Clindamycin 4. Penicillin VK
