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Endo II > L12 Clinical Procedures and Tips > Flashcards

L12 Clinical Procedures and Tips Flashcards

1
Q

what are the endo requirements for graduation

A
  • three cases
  • two endo recalls
  • two assisting in grad
  • trial mock board
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2
Q

what are the three cases that count towards requirements

A
  • first case: must be a non complicated anterior or premolar tooth
  • second case: must be a non-complicated anterior or premolar tooth
  • third case: must be a non complicated anterior or premolar toth
  • last case: must be a competency (mock board exam plastic teeth)
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3
Q

what do two endo recalls consist of

A
  • any RCT done at UMKC your or others including advanced endo
  • should be about 6 months. since completion or last check
  • do clinical testing and record results and patients concerns
  • 1-2 radiographs no charge
  • must be checked by endo faculty. complete the recall on axium and print out sheet for credit
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4
Q

what do the two assists in grad endo consist of

A
  • go to advanced endo clinic and volunteer to assist and observe for 2 half days
  • best to do this early in your third year
  • you will receive a time unit credit/1.0 day. be sure to get signed card and take to clinical deans office
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5
Q

it is mandatory to assist in the predoc clinic ____ before rendering treatment to your first patient

A

two weeks

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6
Q

what is the general protocol for clinicians

A
  • protect
  • inspect
  • collect
  • select
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7
Q

what are the parts of Protect for general protocol for clinicians

A
  • patient, yourself, staff
  • med and dental history
  • vital signs and meds
  • other med testing or consults prn
  • CC
  • expectations/desires attitude of patient
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8
Q

what are the parts of “inspect” in general protocol for clinicians

A
  • problem focused exam: inspection, clinical testing, radiographs,other
  • document all findings a separate dx form for each tooth in area of suscpicion
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9
Q

what is the “collect” part of general protocol for clinicians

A
  • exam, testing and radiographic studies perio and restorability
  • engage brain
  • try to prove or disprove etiology of CC
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10
Q

what is the “select” part of general protocol for clinicians

A
  • the most appropriate dx and tx plan which explains the CC and symptoms and in concert with the exam and testing results
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11
Q

what issues are commonly seen in clinic to be mastered as a clinician in practice

A
  • consultation
  • isolate via rubber dam
  • documentation
  • clinical testing and diagnostic radiographs
  • temporary restoration
  • time management
  • dx and case selection
  • patient handling protocol and records
  • procedures and incidents
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12
Q

what is done in the consultation appointments BEFORE requesting an endo consult

A
  • complete entry interview: CC
  • completet medical and dental hx
  • clinical exam and testing
  • diagnostic radiographs
  • diagnostic forms
    -restorability and consult forms
  • periodontal consult
  • tentative dx
  • additional testing: transillumination, tracing DST, EPT
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13
Q

you must fill out one dx form including ______________ for each separate tooth requiring endo consult

A

other teeth in the quadrant and consult form and restorability form

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14
Q

when do you need to take 2-3 new radiographs

A
  • incomplete or inadequate
  • more than 2 months old
  • any tx, restoration
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15
Q

when do you not ask for an endo consult

A

any time you have not completed the requirements

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16
Q

what does restorability entail

A

must have reasonable longevity following heroic restoration

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17
Q

do clinical testing and evaluation ____ you waste time on O&R on a hopeless or non strategic tooth

A

before

18
Q

you may only do debridement in:

A

E-chair

19
Q

when do you call for a endo consult

A
  • pt in pain: a true necrotic pulp with or without symptoms which is deemed desirable to retain
  • previous RCT therapy with or without symptoms and PARL that needs retreat
  • symptomatic teeth, radiographic pathologic findings, need for RCT due to prosthetic reasons
  • create post-space before a perforation occurs
20
Q

what do you do immediately if a pulp exposure occurs

A
  • insure dental dam is in place and tooth is well isolated
  • remove all remaining caries
  • irrigate with 8.3% NaOCl to gain hemostasis and to reduce microbial contamination
  • place dycal over exposure and place a good temporary restoration
  • take 2-3 radiographs of post restoration tooth
21
Q

what is the subsequent procedure for a pulp exposure

A
  • contact Dr. Weisleder via email
  • only write the patients name and chart number no need to explain
  • get the patient referred
  • scheduled to appropriate clinic
22
Q

when do you test teeth

A

before anesthesia and before Oand R

23
Q

complete clinical testing ____ calling for endo consult

A

before

24
Q

what is the issue with only 1 tooth tested

A

no baseline has been establishedn

25
Q

need to test a minimum of _____ control teeth

A

2-3

26
Q

it is the responsibility of the student doctor to arrive at a tentative ________ DX

A

pulpal, PA, and periodontal

27
Q

all dx need to be recorded in:

A

axium

28
Q

what is the expectation for radiographs

A
  • all radiographs sharp and properly oriented and showing at least 2mm beyond apices
  • quality is of utmost imporance, clear no pt movement, well angled
  • no more than 2 months old
  • if any tx has been done you need new radiograph
29
Q

what 2 PA radiographs are needed

A

-straight on
- angled (shift shot)

30
Q

why BW radiographs

A
  • determine restorability
  • true level of bone
31
Q

procedural incidents to avoid include:

A

-separated instruments
- perforation of roots
- NaOCl accident
- unprofessional treatment of patient

32
Q

an official incident report is required from you and the faculty overseeing _______ after the incident

A

no later than 24 hours

33
Q

one incident =

A

lose credit for that tooth

34
Q

incidents may effect:

A

grade, no endo, clinic priviledges until remediation is completed

35
Q

what is the endo recall procedure

A
  • fill out the form on axium
  • do sensibility testing, percussion, palpation mainly
  • take two radiographs: straight on and a shift shot
  • call the pager to get endo faculty
36
Q

what are the 4 basic jobs of UMKC endo

A
  • to offer basic guidance in examination and testing leading to accurate diagnosis
  • to present one basic technique of NS endodontic treatment for non complicated RCT cases
  • to equip you to recognize and treat non complicated endodontic cases in a clinical situation
  • to give you the basic criteria to determine when referral is in the best interest of the patient
37
Q

what does being responsible ential

A
  • collect and confirm health history
  • accumulate all testing and studies to determine accurate dx
  • prescribe appropriate treatment in an efficient and caring manner
38
Q

where do files go after usage

A

red sharps container

39
Q

what are the clincial tips to remember

A
  • come prepared
  • be responsible
  • team approach
  • start RCT early
  • keep your operating area sterile and clean
  • clinical endo is difficult and requires constant focus
  • learn to use time wisely
  • get into the habit of searching tooth anatomy and radiographic studies before you begin treatment to learn to anticipate possible problems
40
Q

what do you do when you complete a case

A

have the green grade sheet filled out and graded by the faculty who you worked with
- take a photo on your phone and immediately take the green grade sheet to the endo office to have the grade recorded so we may be aware of your advancement toward graduation in endo

41
Q
A

Endo II (11 decks)

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