L.10 PULP Therapy 2

Question 1

Research behind Pulpotomy techniques: out of FMC, Laser, CaOH, or FS…which material had the best 2yr follow up? Which had the worst?

Answer 1

Best:FMC…Worst:FS

Question 2

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?

Answer 2

Best: MTA….Worst:ZOE alone

Question 3

Indirect Pulp Therapy: about how much caries do you leave in the tooth?

Answer 3

about 1mm left until pulp exp (how the hell do you know that)

Question 4

What are the 3 materials used in an indirect pulp therapy?

Answer 4

1.Gi (or RMGi) 2.CaOH 3.ZOE (or IRM)

Question 5

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

Answer 5

first lower than second….first

Question 6

Teeth treated with FP had a significantly earlier ________ than those with IPT.

Answer 6

exfoliation

Question 7

When comparing FMC to IPT…which had the better long term prognosis?

Answer 7

IPT by far

Question 8

You can do a pulpotomy on every primary tooth except!!!!

Answer 8

the primary 1st molars

Question 9

In a pulpectomy….OBTURATE WITH ______ followed by ______ OR _______

Answer 9

obturate with VITAPEX….followed by ZOE or GI

Question 10

When doing a pulpectomy, what size is the minimum for reaming the canals? What do you flush with?

Answer 10

35…1% NaHClO

Question 11

What are the two materials you NEVER use to obturate a primary pulpectomy?

Answer 11

NO IRM nor MTA

Question 12

ZOE vs VitaPex for pulpectomy obturation…Which had better 16 mo success?

Answer 12

VitaPex

Question 13

DIRECT Pulp Cap in immature permanent tooth: what are the three layers for the restoration?

Answer 13

After hemostasis….1.MTA (orBioCeramic, or CaOH) (2-4mm) 2.Gi (or RMGi) 3.restporative material

Question 14

In a pulpotomy of a immature permanent tooth the goal is to remove only what is needed to reach non-inflammed tissue/hemostasis @__-__ mm

Answer 14

1-3mm

Question 15

In a pulpotomy of a immature permanent tooth Irrigate with NaClO up to ____ minutes

Answer 15

10 minutes HOLY SHIT

Question 16

In a pulpotomy of a immature permanent tooth what are the two materials we DO NOT USE?

Answer 16

FMC nor FS..we want Apexogenesis! (not to clot and kill the pulp)

Question 17

What are the three materials used for an Indirect Pulp Cap in an Immature permanent tooth?

Answer 17

1. Gi/rmgi 2.CaOH 3.ZOE

Question 18

What is the most unique thing about an Indirect Pulp Cap for permanent teeth vs a pedo tooth?

Answer 18

You reenter permanent teeth in 3-6 months to remove caries

Question 19

When do we do Apexification? Vital or Non-Vital?

Answer 19

NON vital… we are doing a root canal essentially

Question 20

What are the 3 layers of a final Apexification procedure?

Answer 20

MTA…Gutta Percha…restoring material

Question 21

In a pulpectomy of an immature tooth, what material do you use for medication for 24 hrs after removal of the tissue?

Answer 21

MTA!

Question 22

What are the 4 antibiotics you might Rx for Acute Facial Swelling?

Answer 22

1.Amoxicillin 2.Cephalexin 3.Clindamycin 4. Penicillin VK