Obturation and pulp Flashcards
What are 3 ways to dry the canal?
1-Small-tip aspirator
2-Coarse paper point
3-Fine paper point
*No direct air spray
What are 5 sealers?
1-Zinc-oxide and eugenol 2-Resin-based 3-CaOh base 4-Glass ionomer 5-Bioceramic
What are 5 ways to place sealer?
1-MAF in reverse 2-Gutta percha point 3-Paper point 4-Lentulo spiral 5-Syringe
What are 4 Core materials?
1-Gutta percha
2-Silver cones
3-Past fillers (temporary)
4-Hot dot on a stick
What are the standardized size ranges of Gutta percha?
-Size 15-140 (0.02, 0.04, 0.06 taper)
What are three techniques for gutta percha placement?
1-Lateral condensation
2-Warm Vertical compaction
3-Modified warm vertical (softened backfill technique)
What are the 7 steps of conventional root canal therapy?
1-Anesthesia 2-Rubber dam 3-Access (straight line) 4-Instrument/shape canal 5-Irrigate/disinfect 6-Dry 7-obturate
What are the 4 main types of insults to the pulp?
1-Microbial
2-Restorations (immediate)
3-Leaking restorations (years later)
4-Physical trauma
What are the 4 main responses the pulp has to microbial insult?
1-Chronic inflammation
2-Acute inflammation
3-Resolution and repair
4-Pulp death
*rarely internal tooth resorption
What are three ways a restoration immediately affects the pulp?
1-Thermal (bur heat)
2-Mechanical (cut dentin)
3-Chemical (restorative materials)
What causes pulp insult years after a restoration is placed?
Bacterial microleakage
What are three examples of physical trauma to the pulp?
1-Severance of the neurovascular supply
2-Concussive effects to the pulp
3-Direct pulp exposure
What are 3 responses of the pulp to physical trauma?
1-Discoloration- heme breakdown causes darkening of the tooth
2-Resorptive defects
3-Healing, or death
What are two things endodontic treatment accomplishes?
1-Eliminate infection in the dentin-pulp complex
2-Maintain tooth/teeth within the oral complex
What about the tooth vascular supply makes it be able to get to a point that it cannot heal anymore?
It has a terminal end blood supply, does not have collateral blood supply
*Appendix is this way too