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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
Q

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

A

two or more
certificate
advanced education program accredited

26
Q

As defined by the American Board of Endodontices, an endodontist who has passed the certifying examination administered by the American Board of Endodontics

A

Board-certified endodontist

27
Q

Endodontics was officially recognized by ADA as specialty in:

A

1963

28
Q

When/what was the first known endo text?

A

1920 AB Crane

29
Q

End requires ___ years of post-doctoral study

A

2-3

30
Q

Endo is becoming a very popular speciality second only to ___ in applicant numbers

A

ortho

31
Q

How many teeth per year does endo save?

A

17M +

32
Q

What percent of endo is done by general dentists?

A

75%+

33
Q

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.

A

90%; selection

34
Q

The objectives of endodontics & scope of this course include: (3)

A
  1. correctly diagnose disease as LEO
  2. perform quality endodontic therapy
  3. restore & document healed outcome over tie via recall
35
Q

LEO

A

lesion of endodontic origin

36
Q

What are the two most important principles to come away with from the first two endo semesters?

A
  1. diagnosis
  2. case selection
37
Q

The GD is the primary care provider and as such must be highly skilled in exam, diagnosis, and ___.

A

case selection

38
Q

What are some reasons to avoid extraction?

A
  1. tilting
  2. space loss
  3. super eruption
39
Q

Following extraction of a tooth, what must be retained as a preventative measure to prevent further dental destruction?

A
  1. space
  2. alignment
40
Q

For successful treatment of the tooth in question, you should consider:

A

strategic importance & expected prognosis

41
Q

Reliable source of endodontic information:

A

AAE

42
Q

Paraformaldehyde paste fillers such as Sargenti paste:

A

toxic & unacceptable

43
Q

The focal infection theory:

A

is false & remains unproven by scenic studies in greater than 100 years

44
Q

Format that is the proper path to develop an accurate diagnosis as well as essential records:

A

SOAP format

45
Q

The SOAP format allows for:

A

accurate diagnosis and essential records

46
Q

What is recognized globally as the premier endodontic organization?

A

AAE

47
Q

NOT accepted by ADA or any recognized faction of organized dentistry in the world:

A

AES

48
Q

AES encourages non-recognized, dangerous and often illegal methods and materials such as:

A

N2, RC2B, or Sargneti method

49
Q
  • non-FDA approved material
  • sloppy technique (not biologically sound)
  • contains para-formaldehyde and the hazardous chemicals that are left in the treated tooth permanently
A

N2: Sargenti technique

50
Q

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

A

focal infection theory

51
Q

When did the focal infection theory begin to be questioned?

A

mid 30s

52
Q

Describe the focal infection theory in regards to RCT:

A

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
Q

It may be true that severe ___ has a role in increased risk of low weight babies, cardiovascular disease, and diabetes

A

periodontal disease

54
Q

What should you NEVER go to court without?

A

SOAP format

55
Q

Describe the S in SOAP:

A

subjective; what the patient tells you

example: my front tooth hurts after I eat

56
Q

Describe the O in SOAP:

A

objective; what you observe to be true; results of your clinical exam & testing

example: pulp testing

57
Q

Describe the A in SOAP:

A

diagnosis; what your findings indicate to be the problem

58
Q

Describe the P in SOAP:

A

plan or procedure; this is how & what you plan to accomplish in the way of treatment

59
Q

What precedes the SOAP format?

A

Taking a medical history

60
Q

What is required for a diagnosis?

A
  1. pulpal diagnosis
  2. peri-radicular diagnosis
61
Q
A

Endodontics (19 decks)

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