Lecture 1 (8/22) Flashcards
Endodontics is the dental specialty:
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 speciality pertaining to the prevention and treatment of:
Apical periodontitis
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
AAE; Endodontic Competency Paper Form
What Endodontic 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 periodical diagnosis, provide appropriate emergency care & referral, and maintain proper patient records & documentation:
Diagnostic standards
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:
Treatment planning standards
The scope of endodontics includes but is not limited to: (4)
- Differential diagnosis
- Vital pulp therapy
- Nonsurgical treatment- obturation
- Surgical removal
The scope of endodontics includes:
_______ and treatment of oral pain of pulpal and/or periodical 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 periradiuclar pathos’s of pulpal origin, and the ____ of these root canal systems
Nonsurgical treatment; obturation
The scope of endodontics includes:
Selective _____ of pathological tissues resulting from pulpal pathosis
Surgical removal
The scope endodontics includes but is not limited to:
Intentional ___ & ____; ___ of avulsed teeth
Extraction and replantation; replantation
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
Surgical removal
When may the scope of endodontics include removal of tooth structure? (in what cases)
- Root-end resection
- Bicuspidation
- 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
Endodontics 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
-New materials and protocols
Regenerative endodntics (newer biological therapies)
Necrotic teeth=
Dead pulp
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 Endodontics, and endodontist who has passed the certifying examination administered by the American Board of Endodontics
Board-certified endodontist
Endodontics was officially recognized by ADA as a specialty in:
1963
When/what was the first known endo text?
1920 AB Crane
Endo requires ____ years of post-doctoral study
2-3
Endo is becoming a very popular specialty, second only to _____ in applicant numbers
Ortho
How many teeth per year does endo save?
17 M+
What percent of endo is done by general dentist?
75%
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
90% ; Selection
The three objectives of Endodontics and scope of this course include:
- Correctly diagnosed disease as LEO
- Perform quality endodontic therapy
- Restore & document healed outcome over time via recall
LEO
Lesion of endodontic origin
What are the two most important principles to come away from these two endo semesters?
- Diagnosis
- Case selection
The GD is the primary care provider and 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 and expected prognosis
A reliable source of endodontic information:
AAE
Paraformaldehyde paste fileles such as Sargenti Paste:
Toxic and unacceptable
The focal infection theory:
Is false and remains unproven by scientific 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
- 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 (American Endodontic society
AES encourages non-recognized, dangerous and often illegal methods and material such as:
N2, RC2B or Sargenti method
-non-FDA approved material
-Sloppy technique (not biologically sound)
-Contains paraformaldehyde and other hazardous chemicals that are left in 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 (FIT)
When did the focal infection theory begin to be questioned?
By the mid 1930s
Describe the focal infection 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 & remains unproven)
It may be true that severe ______ has a role in increased risk of low birth 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 examination & testing
example: pulp testing
Describe the A in SOAP:
Assessment; diagnosis- what your findings indicate to be the problem
Describe the P in SOAP:
Plan or Procedure; how and what you plan to accomplish in the way of treatment
What proceeds the SOAP format?
Taking a medical history
What is required for a diagnosis?
- pulpal diagnosis
- periradicular diagnosis
