Molar Endo Flashcards

1
Q

What effect does zinc oxide eugenol sealer have on the physical properties of tooth following endo treatment ?

A

The eugenol increases dentine microhardness

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2
Q

How might endo treatment effect the structure of collagen in the organic matrix?

A

Causes collagen to have:
- More immature cross-links
- A potential decrease in tensile strength, and increase in brittleness

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3
Q

On endodontic evaluation, what might an isolated increased pocket indicate?

A

Vertical root fracture

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4
Q

In an average patient, what is the measurement of the biologic width in health and disease?

A

2-3mm

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5
Q

What might you be able to repair a root perforation with?

A

A bioceramic material (e.g. MTA) or surgery (req. CBCT)

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6
Q

What might the choice of a core material depend on?

A

Location of the tooth
Type of restoration
Occlusal forces
Retention and resistance

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7
Q

What materials can be used for core build ups?

A

Amalgam
Composite resin (Bis GMA)
Hybrid composites

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8
Q

How much gutta percha should remain when preparing the canal for a post?

A

4-5mm of GP should remain

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9
Q

What should the diameter of the post be?

A

No greater than 1/3 of diameter of root

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10
Q

Which luting cements can you use for metal posts?

A

Zinc Phosphate cement
Zinc Polycarboxylate cement
Glass ionomer cement
Resin-modified glass ionomer cement

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11
Q

Which luting cement can you use for quartz fibre posts?

A

Composite resin cement (Rely X ARC - adhesive resin cement)

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12
Q

What are the recommended adult doses for paracetamol and ibuprofen?

A

Paracetamol - 2x500mg up to 4x daily (max - 4g)
Ibuprofen - 2x200mg up to 4x daily after food

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13
Q

What is the recommended dose of over the counter co-codamol?

A

2x8mg/500mg up to 4x daily

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14
Q

What is the recommended dose of amoxicillin for dental infections?

A

1x500mg capsule 3x/day

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15
Q

What is the recommended dose of PenV for dental infections?

A

2x250mg tabs, 4x daily

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16
Q

What is the recommended dose for Metronidazole?

A

1x400mg tabs, 3x daily

17
Q

For severe dental infections involving EO swelling w/ eye closing or trismus, what should you do to the antibiotic dose?

A

Double it

18
Q

What is dentine hypersensitivity caused by?

A

Rapid fluid flow in dentinal tubules - hydrodynamic activation of A delta fibres

19
Q

What desensitising agents can be used to treat dentine hypersensitivity?

A

Potassium nitrate - works by disrupting the transmission of nerve impulses

or

Agents that will occlude the dentinal tubules (more commonly used):
- Fluorides
- Oxalates
- Varnishes
- Adhesive systems
- Bioglass
- Casein-phosphopeptide-amorphous calcium phosphate
- Lazer