Pee Dos Flashcards
How do we determine vitality of Primary teeth?
- 4 tests
- unreliable in Primaries
Thermal
Percussion
Palpation
Mobility
How do we determine vitality of Immature Permanent Teeth?
*useful to establish baseline in trauma
Electric
Thermal
Percussion
Palpation
Mobility
How do we determine viability of Permanent Teeth?
Electric
Thermal
Percussion
Palpation
Mobility
Feel changes in alveolus/furcation/mobility
Infection leads to Resorption leads to Mobility
True
T/F
Never base Tx decisions on sensibility tests/feedback
True
Tx exposes pulp, how determine Pulp Status?
*2 options
Purulent/profuse bleeding - Irreversible Pulpitis
Bright red/arrests 5 min. - Reversible Pulpitis
12/24 month (general) Success Rate: MTA
FS:
FMC:
Laser:
ZOE:
CaOH
100 98
86 86
96 85
93 78
92 68
86 53
What is the best filler for Pulpotomy?
MTA
4 reasons MTA best filler for Pulpotomy:
Bioactive glass/ceramic
biocompatible (non-toxic)
Minimal inflammatory response
HA forms dentin and filling material
What is a dentinal bridge?
Reparative Dentin laid down after Pulpotomy
*MTA
3 Protective Liner Meds (Primary and Permanent)
GI (Vitrebond/Fuji IX)
CaOH
Dentin Bonding Agent
4 Direct Pulp Cap Meds (Primary/Permanent)
MTA (Mineral trioxide aggregate)
BIO
CaOH
RMGI/GI
What 2 products would you NEVER USE for Pulpotomy for Permanent teeth?
What 2 products are ok to use?
FMC or FS
MTA or CaOH
6 Pulpotomy meds:
*that can be used on Primary teeth
Formocresol (FMC)
Ferric Sulfate
MTA
Electrosurgery/Laser
TempIt (ZOE)
NaOCl (bleach)
Primary Pulpotomy Meds: FMC ___ application, is _____
Ferric Sulfate ____ application, is _______
MTA/Endosequence, ________
Electrosurgery/Laser, careful of…
ZOE, aka…
NaOCl, similar success rate to ______
5 minute, bactericidal
15 second, coagulant
leave it in
exces heat/energy
TempIt
FMC
4 Indirect Pulp Tx Meds (Primary/Permanent)
GI
RMGI
CaOH
ZOE/IRM
3 Pulpectomy Meds to never use with Primary teeth:
Why?
IRM, MTA, Gutta Percha
non resorbing
IRM, MTA, GP never used for Pulpectomy on Primary teeth (non resorbing), what do you use instead?
Vitapex
followed by ZOE/GI
*flush canals w/ NaOCl 1%
there is a tendency to ______ Vitapex and ______ ZOE
*primary pulpectomy
overfill Vitapex
underfill Zoe
What are the steps for Immature Permanent Apexification?
(like pulpectomy) Irrigate NaOCl
CaOH 2 wks for disinfection
Apical collagen as needed
MTA (moist pellet 24 hrs)
check MTA after 24 hrs, Place GP
***MTA/composite fill for reinforcement of immature root (this is apexification)
What is used for Apexification?
MTA/composite fill to reinforce immature root
What are the filling (obturating) materials for the chamber?
ZOE (IRM)
FMC has similar success to FS and Bleach
True
If the Pulp is Vital, what procedures can you do?
Direct Pulp Cap
Pulpotomy
Indirect Pulp Cap
Revascularization