Lecture 1 (8/22) Flashcards
Endodontics is the dental speciality:
pertaining to the prevention and treatment of apical periodontitis (Dr. Martin Trope)
The dental speciality pertaining to the prevention and treatment of apical periodontitis
endodontics
Endodontics is the dental specialty pertaining to the prevention and treatment of:
apical periodontitis
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
AAE; Endodontic Competency Paper Form
What does the Endodontics Competency Paper Form Provide to practitioners?
a standard for all practitioners who diagnose, develop a treatment plan, and perform endodontic procedures
The Endodontic Competency Paper Form focuses on three key areas critical to competent endodontic treatment:
- diagnosis
- treatment planning
- prognosis
What should you expect to learn in this course? (3)
- diagnostic standards
- treatment planning standards
- competency in the prognosis of endodontic treatment
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:
diagnostic standards
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:
treatment planning standards
Requires that clinicians be able to forecast the outcome of initial nonsurgical root canal treatment
competency in the prognosis of endodontic treatment
The scope of endodontics includes but is not limited to:
- differential diagnosis
- vital pulp therapy
- nonsurgical treatment/ obturation
- surgical removal
The scope of endodontics includes:
____ and treatment of oral pain of pulpal and/or periapical origin
differential diagnosis
The scope of endodontics includes:
____ such as pulp capping (direct/indirect) and pulpotomy.
vital pulp therapy
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.
nonsurgical treatment; obturation (filling)
The scope of endodontics includes but is not limited to:
Intentional ___ & ____; ____ of avulsed teeth
extraction & replantation; replantation
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.
surgical removal
When may the scope of endodontics include removal of tooth structure? (in what cases)
- root-end resection
- bicuspidization
- hemisection
- root resection
- root-end filling
- endodontic implants
The scope of endodontics may include ____ of discolored dentin and enamel (teeth)
internal bleaching
When may internal bleaching be required in endodontics?
presence of discolored dentin and enamel
The scope of endodontics may include ____ of teeth previously treated endodontically
retreatment
Endodontic treatment may include procedures related to coronal restorations by means of ___ involving the root canal space
post and/or cores
What is new in endodontics?
regenerative endodontics
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
regenerative endodontics (a newer biological therapy)
Necrotic teeth =
dead pulps
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
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
Endodontics was officially recognized by ADA as specialty in:
1963
When/what was the first known endo text?
1920 AB Crane
End requires ___ years of post-doctoral study
2-3
Endo is becoming a very popular speciality second only to ___ in applicant numbers
ortho
How many teeth per year does endo save?
17M +
What percent of endo is done by general dentists?
75%+
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
The objectives of endodontics & scope of this course include: (3)
- correctly diagnose disease as LEO
- perform quality endodontic therapy
- restore & document healed outcome over tie via recall
LEO
lesion of endodontic origin
What are the two most important principles to come away with from the first two endo semesters?
- diagnosis
- case selection
The GD is the primary care provider and as such must be highly skilled in exam, diagnosis, and ___.
case selection
What are some reasons to avoid extraction?
- tilting
- space loss
- super eruption
Following extraction of a tooth, what must be retained as a preventative measure to prevent further dental destruction?
- space
- alignment
For successful treatment of the tooth in question, you should consider:
strategic importance & expected prognosis
Reliable source of endodontic information:
AAE
Paraformaldehyde paste fillers such as Sargenti paste:
toxic & unacceptable
The focal infection theory:
is false & remains unproven by scenic studies in greater than 100 years
Format that is the proper path to develop an accurate diagnosis as well as essential records:
SOAP format
The SOAP format allows for:
accurate diagnosis and essential records
What is recognized globally as the premier endodontic organization?
AAE
NOT accepted by ADA or any recognized faction of organized dentistry in the world:
AES
AES encourages non-recognized, dangerous and often illegal methods and materials such as:
N2, RC2B, or Sargneti method
- 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
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
When did the focal infection theory begin to be questioned?
mid 30s
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)
It may be true that severe ___ has a role in increased risk of low weight babies, cardiovascular disease, and diabetes
periodontal disease
What should you NEVER go to court without?
SOAP format
Describe the S in SOAP:
subjective; what the patient tells you
example: my front tooth hurts after I eat
Describe the O in SOAP:
objective; what you observe to be true; results of your clinical exam & testing
example: pulp testing
Describe the A in SOAP:
diagnosis; what your findings indicate to be the problem
Describe the P in SOAP:
plan or procedure; this is how & what you plan to accomplish in the way of treatment
What precedes the SOAP format?
Taking a medical history
What is required for a diagnosis?
- pulpal diagnosis
- peri-radicular diagnosis
