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Endodontics > Lecture 1 (8/22) > Flashcards

Lecture 1 (8/22) Flashcards

1
Q

Endodontics is the dental speciality:

A

pertaining to the prevention and treatment of apical periodontitis (Dr. Martin Trope)

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2
Q

The dental speciality pertaining to the prevention and treatment of apical periodontitis

A

endodontics

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3
Q

Endodontics is the dental specialty pertaining to the prevention and treatment of:

A

apical periodontitis

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4
Q

As the global leaders in advocating the value and quality of endodontics, the __ developed the ___ to identify the knowledge and skill that should provide a standard for all practitioners who diagnose, develop a treatment plan, and perform endodontic procedures

A

AAE; Endodontic Competency Paper Form

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5
Q

What does the Endodontics Competency Paper Form Provide to practitioners?

A

a standard for all practitioners who diagnose, develop a treatment plan, and perform endodontic procedures

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6
Q

The Endodontic Competency Paper Form focuses on three key areas critical to competent endodontic treatment:

A
  1. diagnosis
  2. treatment planning
  3. prognosis
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7
Q

What should you expect to learn in this course? (3)

A
  1. diagnostic standards
  2. treatment planning standards
  3. competency in the prognosis of endodontic treatment
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8
Q

Includes the ability of the dentist to assimilate the necessary subjective, objective, and radiographic information to establish a pulpal and/or periapical diagnosis, provide appropriate emergency care and referral, and maintain proper patient records and documentation:

A

diagnostic standards

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9
Q

Includes case assessment to evaluate the difficulty of treatment and consideration of referral, development of a treatment plan that takes in account the restorability of the tooth, and special consideration for traumatic dental injuries:

A

treatment planning standards

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10
Q

Requires that clinicians be able to forecast the outcome of initial nonsurgical root canal treatment

A

competency in the prognosis of endodontic treatment

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11
Q

The scope of endodontics includes but is not limited to:

A
  1. differential diagnosis
  2. vital pulp therapy
  3. nonsurgical treatment/ obturation
  4. surgical removal
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12
Q

The scope of endodontics includes:

____ and treatment of oral pain of pulpal and/or periapical origin

A

differential diagnosis

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13
Q

The scope of endodontics includes:

____ such as pulp capping (direct/indirect) and pulpotomy.

A

vital pulp therapy

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14
Q

The scope of endodontics includes:

____ of root canal systems with or without periradicular pathos’s of pulpal origin, and the ____ of these root canal systems.

A

nonsurgical treatment; obturation (filling)

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15
Q

The scope of endodontics includes but is not limited to:

Intentional ___ & ____; ____ of avulsed teeth

A

extraction & replantation; replantation

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16
Q

The scope of endodontics may include ____ of tooth structure such as in root-end resection, bicuspidization, hemisection and root resection; root-end filing, endodontic implants.

A

surgical removal

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17
Q

When may the scope of endodontics include removal of tooth structure? (in what cases)

A
  1. root-end resection
  2. bicuspidization
  3. hemisection
  4. root resection
  5. root-end filling
  6. endodontic implants
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18
Q

The scope of endodontics may include ____ of discolored dentin and enamel (teeth)

A

internal bleaching

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19
Q

When may internal bleaching be required in endodontics?

A

presence of discolored dentin and enamel

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20
Q

The scope of endodontics may include ____ of teeth previously treated endodontically

A

retreatment

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21
Q

Endodontic treatment may include procedures related to coronal restorations by means of ___ involving the root canal space

A

post and/or cores

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22
Q

What is new in endodontics?

A

regenerative endodontics

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23
Q

The incorporation of ____ allows us to:

  • revitalize previous necrotic teeth (dead pulps)
  • re-establish normal tooth sensation
  • continue the root formation of immature teeth with open apices
  • newer materials and protocols
A

regenerative endodontics (a newer biological therapy)

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24
Q

Necrotic teeth =

A

dead pulps

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25
An endodontist is a dentist with ___ years of advanced training in the scope of endodontics who has received a ___ in endodontics from an ___ by the ADA commission on Dental Accreditation and who limits his or her practice to endodontics
two or more certificate advanced education program accredited
26
As defined by the American Board of Endodontices, an endodontist who has passed the certifying examination administered by the American Board of Endodontics
Board-certified endodontist
27
Endodontics was officially recognized by ADA as specialty in:
1963
28
When/what was the first known endo text?
1920 AB Crane
29
End requires ___ years of post-doctoral study
2-3
30
Endo is becoming a very popular speciality second only to ___ in applicant numbers
ortho
31
How many teeth per year does endo save?
17M +
32
What percent of endo is done by general dentists?
75%+
33
Generally speaking, when RCT is performed competently, greater than ____% of treatments will heal depending on factors of ___, quality of RCT and whose study you read.
90%; selection
34
The objectives of endodontics & scope of this course include: (3)
1. correctly diagnose disease as LEO 2. perform quality endodontic therapy 3. restore & document healed outcome over tie via recall
35
LEO
lesion of endodontic origin
36
What are the two most important principles to come away with from the first two endo semesters?
1. diagnosis 2. case selection
37
The GD is the primary care provider and as such must be highly skilled in exam, diagnosis, and ___.
case selection
38
What are some reasons to avoid extraction?
1. tilting 2. space loss 3. super eruption
39
Following extraction of a tooth, what must be retained as a preventative measure to prevent further dental destruction?
1. space 2. alignment
40
For successful treatment of the tooth in question, you should consider:
strategic importance & expected prognosis
41
Reliable source of endodontic information:
AAE
42
Paraformaldehyde paste fillers such as Sargenti paste:
toxic & unacceptable
43
The focal infection theory:
is false & remains unproven by scenic studies in greater than 100 years
44
Format that is the proper path to develop an accurate diagnosis as well as essential records:
SOAP format
45
The SOAP format allows for:
accurate diagnosis and essential records
46
What is recognized globally as the premier endodontic organization?
AAE
47
NOT accepted by ADA or any recognized faction of organized dentistry in the world:
AES
48
AES encourages non-recognized, dangerous and often illegal methods and materials such as:
N2, RC2B, or Sargneti method
49
- non-FDA approved material - sloppy technique (not biologically sound) - contains para-formaldehyde and the hazardous chemicals that are left in the treated tooth permanently
N2: Sargenti technique
50
The notion that a local infection affecting a small area of the body can lead to subsequent infections and/or symptoms in other parts of the body
focal infection theory
51
When did the focal infection theory begin to be questioned?
mid 30s
52
Describe the focal infection theory in regards to RCT:
Basically states that RCT teeth are a source of infection within the body and seeks removal of RCT tooth as a cure for many diseases (NOT based in fact and remains unproven)
53
It may be true that severe ___ has a role in increased risk of low weight babies, cardiovascular disease, and diabetes
periodontal disease
54
What should you NEVER go to court without?
SOAP format
55
Describe the S in SOAP:
subjective; what the patient tells you example: my front tooth hurts after I eat
56
Describe the O in SOAP:
objective; what you observe to be true; results of your clinical exam & testing example: pulp testing
57
Describe the A in SOAP:
diagnosis; what your findings indicate to be the problem
58
Describe the P in SOAP:
plan or procedure; this is how & what you plan to accomplish in the way of treatment
59
What precedes the SOAP format?
Taking a medical history
60
What is required for a diagnosis?
1. pulpal diagnosis 2. peri-radicular diagnosis
61

Endodontics (19 decks)

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