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Endodontics > Lecture 1 (8/22) > Flashcards

Lecture 1 (8/22) Flashcards

1
Q

Endodontics is the dental specialty:

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 speciality pertaining to the prevention and treatment of:

A

Apical periodontitis

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4
Q

As the global leaders in advocating the value & 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 Endodontic 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 periodical diagnosis, provide appropriate emergency care & referral, and maintain proper patient records & 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 into account the restorability of the tooth, and special consideration for traumatic dental injuries:

A

Treatment planning standards

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10
Q

The scope of endodontics includes but is not limited to: (4)

A
  1. Differential diagnosis
  2. Vital pulp therapy
  3. Nonsurgical treatment- obturation
  4. Surgical removal
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11
Q

The scope of endodontics includes:

_______ and treatment of oral pain of pulpal and/or periodical origin

A

Differential diagnosis

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12
Q

The scope of endodontics includes:

_____ such as pulp capping (direct/indirect) and pulpotomy

A

Vital pulp therapy

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13
Q

The scope of endodontics includes:

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

A

Nonsurgical treatment; obturation

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14
Q

The scope of endodontics includes:

Selective _____ of pathological tissues resulting from pulpal pathosis

A

Surgical removal

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15
Q

The scope endodontics includes but is not limited to:

Intentional ___ & ____; ___ of avulsed teeth

A

Extraction and replantation; replantation

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16
Q

The scope of endodontics may include ___ of tooth structure, such as in root-end resection, bucuspidation, hemisection and root resection; root-end filling, endodontic implants, etc

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. Bicuspidation
  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

Endodontics 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
-New materials and protocols

A

Regenerative endodntics (newer biological therapies)

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24
Q

Necrotic teeth=

A

Dead pulp

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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 Endodontics, and 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 a specialty in:

A

1963

28
Q

When/what was the first known endo text?

A

1920 AB Crane

29
Q

Endo requires ____ years of post-doctoral study

A

2-3

30
Q

Endo is becoming a very popular specialty, second only to _____ in applicant numbers

A

Ortho

31
Q

How many teeth per year does endo save?

A

17 M+

32
Q

What percent of endo is done by general dentist?

A

75%

33
Q

Generally speaking, when RCT is performed competently, greater than ____ % of treatments will heal, depending on factors or ____, quality of RCT and whose study you read

A

90% ; Selection

34
Q

The three objectives of Endodontics and scope of this course include:

A
  1. Correctly diagnosed disease as LEO
  2. Perform quality endodontic therapy
  3. Restore & document healed outcome over time via recall
35
Q

LEO

A

Lesion of endodontic origin

36
Q

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

A
  1. Diagnosis
  2. Case selection
37
Q

The GD is the primary care provider and 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 and expected prognosis

41
Q

A reliable source of endodontic information:

A

AAE

42
Q

Paraformaldehyde paste fileles such as Sargenti Paste:

A

Toxic and unacceptable

43
Q

The focal infection theory:

A

Is false and remains unproven by scientific 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
  1. Accurate diagnosis
  2. 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 (American Endodontic society

48
Q

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

A

N2, RC2B or Sargenti method

49
Q

-non-FDA approved material
-Sloppy technique (not biologically sound)
-Contains paraformaldehyde and other hazardous chemicals that are left in 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 (FIT)

51
Q

When did the focal infection theory begin to be questioned?

A

By the mid 1930s

52
Q

Describe the focal infection 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 & remains unproven)

53
Q

It may be true that severe ______ has a role in increased risk of low birth 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 examination & testing

example: pulp testing

57
Q

Describe the A in SOAP:

A

Assessment; diagnosis- what your findings indicate to be the problem

58
Q

Describe the P in SOAP:

A

Plan or Procedure; how and what you plan to accomplish in the way of treatment

59
Q

What proceeds the SOAP format?

A

Taking a medical history

60
Q

What is required for a diagnosis?

A
  1. pulpal diagnosis
  2. periradicular diagnosis
61
Q
A

Endodontics (17 decks)

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