Miscellaneous Flashcards
What is the responsibility of the dentist when there is pathosis?
Investigate, dianose, document, suggest treatment
Where do you sear off gutta percha?
At the level of the CEJ / crystal bone
For an axiom note to be complete, what information must be included about a periodical radiolucency?
Width and length in mm using axiom ruler
As healed previously existing radiolucency would look like what?
Filled in with bone and normal trabeculation
Are antibiotics a treatment option with recurrent periodical pathosis of a failing endo treated tooth?
No
What is the success for retreatment of a poor endo?
94%
Does sealer puff go away?
Yes within weeks to months as radioluecnt area fills in with bone
Will resin cement pushed out the apex go away (resin cement puff versus sealer puff)?
No
How long with a retreated periodical radiolucency take to fill in?
6 months to 2 yrs
What is the recall schedule to evaluate the healing of a periodical radiolucency after pretreatment?
6 months to 1 year
A patient with a previously endo-treated tooth is symptomatic and gets pretreatment, how long will it take for soreness to go away?
2-6 weeks, usually 2 weeks
Can a tooth with a parulis be asymptomatic?
Yes
What are things to record as evaluating radiolucency or complaint on a previously endo treated tooth?
- Number of roots seen
- Number of canals previously treated
- Appearance of root canal fill
- Status of lamina dura
- Presence and size in mm of radiolucency
What is a common etiology for failing NSRCT tooth, especially one with a missed canal?
Bacteria
What is the dentist’s responsibility with respect to disease?
- Identify disease present
- Diagnose disease
- Recommend treatment
Who’s responsibility is it to decide what to do about a disease once the patient has been informed of their disease state?
The patient
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?
According to Dr Replogle, you are ethically obligated to inform them there is a specialist
How often is there an MB2 on Maxillary 1st molars?
73%
Why is a sliane coupler required for bonding porcelain when restoring an endo access through a PFM crown?
Has hydroxyl groups that bond to porcelain
Red plastic posts in the clinic are used for what?
Making cast post and core
Which post does Dr Imbrey prefer: prefab parallel custom cast?
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
How should the amount of local anesthetic be indicated in the chart?
mL or mg NOT CARPULES!!!!!!
How many mg of Lidocaine are in a 1.8mL carpule of 2% Lidocaine?
36 mg (20 X 1.8)
How many mg of Epi are in an anesthetic with 1:100K epinephrine?
.018 mg of Epi (.01 x 1.8)
How many mg of Epi are in an anesthetic with 1:50,000 Epi?
.036 mg of Epi in 1:50,000 (0.5 x 1.8)
How many mg of Septocaine in 1.8mL carpule of 4% septocaine?
72 mg Septo (40 x 1.8 mL)
How many mg of Mepivicaine in 1.8 mL carpule of 3% Mepivicaine?
54 mg Mepivicaine (30 x 1.8mL)
What is Dr Replogle’s method for giving anesthetic to a patient for an IAN to treat #19?
- Give 2 Carpules of 2% lidocaine 1:100,000 Epi for IAN
- 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
What is the maximum amount of 3% Mepivicaine that can be given?
300 mg (about 5 carpules)
What is the maximum amount of 2% Lidocaine that can be given?
300 mg (about 8 carpules)
What is the maximum amount of 4% septocaine that can be given?
700 mg (about 9 carpules)
What is the maximum amount of epinephrine that can be given?
.20mg in a healthy adult (about 11 carpules if 1:100,000 or about 5 carpules if 1:50,000)
