Miscellaneous Flashcards

1
Q

What is the responsibility of the dentist when there is pathosis?

A

Investigate, dianose, document, suggest treatment

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2
Q

Where do you sear off gutta percha?

A

At the level of the CEJ / crystal bone

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3
Q

For an axiom note to be complete, what information must be included about a periodical radiolucency?

A

Width and length in mm using axiom ruler

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4
Q

As healed previously existing radiolucency would look like what?

A

Filled in with bone and normal trabeculation

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5
Q

Are antibiotics a treatment option with recurrent periodical pathosis of a failing endo treated tooth?

A

No

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6
Q

What is the success for retreatment of a poor endo?

A

94%

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7
Q

Does sealer puff go away?

A

Yes within weeks to months as radioluecnt area fills in with bone

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8
Q

Will resin cement pushed out the apex go away (resin cement puff versus sealer puff)?

A

No

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9
Q

How long with a retreated periodical radiolucency take to fill in?

A

6 months to 2 yrs

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10
Q

What is the recall schedule to evaluate the healing of a periodical radiolucency after pretreatment?

A

6 months to 1 year

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11
Q

A patient with a previously endo-treated tooth is symptomatic and gets pretreatment, how long will it take for soreness to go away?

A

2-6 weeks, usually 2 weeks

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12
Q

Can a tooth with a parulis be asymptomatic?

A

Yes

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13
Q

What are things to record as evaluating radiolucency or complaint on a previously endo treated tooth?

A
  1. Number of roots seen
  2. Number of canals previously treated
  3. Appearance of root canal fill
  4. Status of lamina dura
  5. Presence and size in mm of radiolucency
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14
Q

What is a common etiology for failing NSRCT tooth, especially one with a missed canal?

A

Bacteria

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15
Q

What is the dentist’s responsibility with respect to disease?

A
  1. Identify disease present
  2. Diagnose disease
  3. Recommend treatment
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16
Q

Who’s responsibility is it to decide what to do about a disease once the patient has been informed of their disease state?

A

The patient

17
Q

Are you required to tell a patient there is a specialist who can do the pretreatment even if you as a general dentist are trained in pretreatment?

A

According to Dr Replogle, you are ethically obligated to inform them there is a specialist

18
Q

How often is there an MB2 on Maxillary 1st molars?

A

73%

19
Q

Why is a sliane coupler required for bonding porcelain when restoring an endo access through a PFM crown?

A

Has hydroxyl groups that bond to porcelain

20
Q

Red plastic posts in the clinic are used for what?

A

Making cast post and core

21
Q

Which post does Dr Imbrey prefer: prefab parallel custom cast?

A

Custom cast because it tapers with the canal. Parallel prefabricated is only parallel at its apical portion, then the canal tapers away from it cervically

22
Q

How should the amount of local anesthetic be indicated in the chart?

A

mL or mg NOT CARPULES!!!!!!

23
Q

How many mg of Lidocaine are in a 1.8mL carpule of 2% Lidocaine?

A

36 mg (20 X 1.8)

24
Q

How many mg of Epi are in an anesthetic with 1:100K epinephrine?

A

.018 mg of Epi (.01 x 1.8)

25
Q

How many mg of Epi are in an anesthetic with 1:50,000 Epi?

A

.036 mg of Epi in 1:50,000 (0.5 x 1.8)

26
Q

How many mg of Septocaine in 1.8mL carpule of 4% septocaine?

A

72 mg Septo (40 x 1.8 mL)

27
Q

How many mg of Mepivicaine in 1.8 mL carpule of 3% Mepivicaine?

A

54 mg Mepivicaine (30 x 1.8mL)

28
Q

What is Dr Replogle’s method for giving anesthetic to a patient for an IAN to treat #19?

A
  1. Give 2 Carpules of 2% lidocaine 1:100,000 Epi for IAN
  2. Give 1 Carpule 4% Septocaine 1:100,000 Epi for buccal infiltration
    Annotated as:
    72 mg of 2% Lido 0.36 Epi IAN
    72 mg 4% Septocaine, .018 Septocaine, .018 mg Epi buccal infiltration
29
Q

What is the maximum amount of 3% Mepivicaine that can be given?

A

300 mg (about 5 carpules)

30
Q

What is the maximum amount of 2% Lidocaine that can be given?

A

300 mg (about 8 carpules)

31
Q

What is the maximum amount of 4% septocaine that can be given?

A

700 mg (about 9 carpules)

32
Q

What is the maximum amount of epinephrine that can be given?

A

.20mg in a healthy adult (about 11 carpules if 1:100,000 or about 5 carpules if 1:50,000)