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PEDIATRIC DENTISTRY > L.10 PULP Therapy > Flashcards

L.10 PULP Therapy Flashcards

1
Q

TERMS/Abbreviations: Protective Liner AKA:

A

A base

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2
Q

TERMS/Abbreviations: IPT

A

Indirect Pulp Therapy (Treatment)(Cap)

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3
Q

TERMS/Abbreviations: DPC

A

Direct Pulp Cap

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4
Q

TERMS/Abbreviations: PT or Pulp

A

Pulpotomy

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5
Q

TERMS/Abbreviations: RCT

A

Root Canal, Pulpectomy, Endodontics, Endo

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6
Q

TERMS/Abbreviations: ITR

A

Interim Therapeutic Restoration

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7
Q

TERMS/Abbreviations: ART

A

Alternative Restorative Treatment

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8
Q

TERMS/Abbreviations: IRM

A

Intermediate Restorative Material (ZOE)

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9
Q

TERMS/Abbreviations: TempIt

A

non-eugenol Zinc Oxide

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10
Q

TERMS/Abbreviations: FMC

A

(FC): Formocresol

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11
Q

TERMS/Abbreviations: FS

A

: Ferric Sulfate

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12
Q

TERMS/Abbreviations: MTA

A

: Mineral Trioxide Aggregate

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13
Q

TERMS/Abbreviations: BioCeramics:

A

EndoSequence, MTA

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14
Q

An Objective of pulp therapy: Immature Permanent tooth requires vital pulp to continue __________

A

Apexogenesis

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15
Q

An Objective of pulp therapy: Maintain a non-vital tooth clinically ________

A

functional

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16
Q

What are the 3 topics covered at every single dental appointment and will help us diagnose a pulp problem?

A

1.Dental Hx 2.Med Hx 3.Social Hx

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17
Q

Characterizing Pain: What diagnosis do these pain signs support? Spontaneous, Prolonged, Nocturnal

A

IRREVERSIBLE PULPITIS

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18
Q

Characterizing Pain: What diagnosis do these pain signs support? Thermal, Chemical, Intermittent

A

REVERSIBLE PULPITIS

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19
Q

Extra Oral Examination: _________ needs immediate attention Hospitalization needs to be considered

A

Facial Swelling

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20
Q

Once the tooth has ________, it is often times asymptomatic

A

fistulated

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21
Q

A primary incisor that has been INJURED and is exhibiting a _______ color change with no other symptoms, and no radiographic changes, may NOT need treatment
>____% remain asymptomatic

A

grayish…50%

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22
Q

Can you perform Apexogenesis with Pedo Teeth?

A

No, needs to be perm.

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23
Q

How much of a permanent tooth’s root needs to be present to perform Apexogenesis?

A

2/3 of the root

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24
Q

Pulp Test Reliability: Primary teeth, electric testing?

A

Not an indicator

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25
Q

Pulp Test Reliability: Immature permanent teeth, electric testing?

A

Yes, but not a very strong indicator

26
Q

Pulp Test Reliability: Mature permanent teeth, electric testing?

A

yes, but not a very strong indicator

27
Q

Pulp Test Reliability: primary teeth, thermal testing?

A

yes, but not the best indicator (percussion/mobility is)

28
Q

Pulp Test Reliability: Immature permanent teeth, thermal testing?

A

yes, but not a very strong indicator

29
Q

Pulp Test Reliability: mature permanent teeth, thermal testing?

A

yes, BEST teeth that thermal testing works on!

30
Q

Pulp Test Reliability: primary teeth, percussion/palpation/mobily testing?

A

YES, BEST indicator for primary teeth!

31
Q

Pulp Test Reliability: immature permanent teeth, percussion/palpation/mobily testing?

A

yes

32
Q

Pulp Test Reliability: permanent teeth, percussion/palpation/mobily testing?

A

yes, good indicator

33
Q

Overall, is pulp testing reliable in primary teeth?

A

NO

34
Q

What are the 5 questions you need to answer to make a proper diagnosis in a pulp situation?

A

1.Vital? 2.Can it be saved? 3.Should it be saved? 4.Functional? 5.Alternative?

35
Q

If the treatment leads to exposure of the pulp, a final determination of pulpal status can be obtained by inspection and evaluation of the quality (_____) and ______ of bleeding from the pulp tissue.

A

COLOR…AMOUNT

36
Q

Profuse bleeding or purulent exudate are indications of ___________ .

A

irreversible pulpitis

37
Q

Reversible pulpitis should exhibit WHAT COLOR bleeding that can be arrested within HOW MANY minutes by mild pressure from a cotton pellet.

A

BRIGHT RED…5 minutes

38
Q

What are the 4 options for PULP therapy in a VITAL primary tooth? What is the 1 option for a NON-vital tooth?

A

Vital: 1.Protective Layer 2.Direct Pulp Cap 3.Pulpotomy 4.Indirect pulp therapy….NON-vital: Pulpectomy

39
Q

What is the main goal of using a protective liner?

A

to Promote Tertiary dentin

40
Q

What are the two main Protective Liners used? Which one is used more?

A
  1. GI (Fuji, VITREBOND) 2.Calcium Hydroxide (DyCal)…DyCal is being phased out, so used less than GI
41
Q

YOU ONLY DO A DIRECT PULP CAP WHEN THE EXPOSUE IS _______ IN SIZE!! (

A

pinpoint (

42
Q

What pulp therapy treatment is NOT recommended in a Primary tooth with carious exposure?

A

Direct Pulp Cap

43
Q

Why is a direct pulp cap NOT recommended in a primary tooth?

A

Mesenchyme–>odontoblasts–>INTERNAL RESORPTION…aka: Primary carious DPC are not successful due to inflammation leading to internal resorption

44
Q

What are the three materials for a direct pulp cap?

A

MTA, BIO, CaOH

45
Q

In Primary tooth, do _______ for carious exposure or if in doubt about type of exposure

A

pulpotomy

46
Q

Is the primary tooth vital or non-vital when considering a pulpotomy?

A

Vital!

47
Q

Contraindication for a Pulpotomy is an Indication for WHAT TWO PROCEDURES?

A
  1. Non-Vital Pulpectomy or 2.Extraction
48
Q

How much do you extend the walls of your chamber access in a pulpotomy on a primary tooth?

A

1/2 the cusp width

49
Q

What bur do you use to remove pulp tissue?

A

SLOW SPEED 6 or 8 round

50
Q

After the coronal pulp is amputated, healing can occur in 3 ways…1: the remaining radicular pulp can be rendered inert, by using _________. It fixes or denatures the vital pulp so it is no longer pulp tissue. In addition to its bactericidal properties.

A

formocresol

51
Q

After the coronal pulp is amputated, healing can occur in 3 ways…2: the radicular pulp might be preserved through minimal inflammatory insult by using a hemostatic agent such as _________ to form a clot barrier to preserve the deeper remaining pulp tissue.

A

ferric sulfate

52
Q

After the coronal pulp is amputated, healing can occur in 3 ways…3) pulpotomy mechanism encourages
the radicular pulp to heal and form a dentin bridge by using ____________.

A

mineral trioxide aggregate (MTA)

53
Q

Pulpotomy: Once you have established that the pulp is vital and you have gained hemostasis with light pressure…
Formocresol pellet; damp-not wet; ___ minute application

A

5 minute

54
Q

Pulpotomy: Once you have established that the pulp is vital and you have gained hemostasis with light pressure…Ferric Sulfate direct application for ___ seconds; rinse away when done with application; remove EXCESS moisture

A

15

55
Q

Do you ever use Ferric Sulfate and Formocresol together?

A

HELL NO.

56
Q

Pulpotomy: AFTER amputating the radicular pulp, seal/fill (obturate) the chamber with _______, and then finish the restoration with _______

A

ZOE (IRM)….a stainless steal crown

57
Q

ZOE + hardener (aka “steroids) =

A

IRM (intermediate restorative material)

58
Q

Pulpotomy: What material has similar success or better with less resorption than formocresol or ferric sulfate

A

MTA

59
Q

Pulpotomy: _______ success similar to FS

Likely due to Antimicrobial/Antibacterial effect of NaOCL

A

NaOCL

60
Q

What is the other, newer material along with MTA for sealing a pulpotomy?

A

Bioceramics (Endosequence)

PEDIATRIC DENTISTRY (11 decks)

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