Pulp Therapy

Question 1

Used for indirect pulp cap.

Answer 1

1) Vitrebond

2) Calcium Hydroxide

Question 2

A resin modified glass ionomer used as a liner.

Answer 2

Vitrebond

Question 3

Not recommended for a carious exposure in primary teeth.

Answer 3

Direct pulp cap.

Do a pulpotomy instead.

Question 4

Materials used for direct pulp cap.

Answer 4

MTA or Calcium Hydroxide.

Question 5

May see this after doing a pulpotomy.

Answer 5

Internal root resorption

Question 6

What you should not see on the radiograph in the follow-up of a pulpotomy.

Answer 6

Furcation involvement or pathologic external root resorption.

Question 7

What must the pulpal diagnosis be for a tooth in order to do a pulpotomy?

Answer 7

Reversible pulpitis- pain only with a stimulus (NOT spontaneous).

Question 8

Clinical exam of a tooth in order to do a pulpotomy?

Answer 8

No movement, no fistula, no pain with percussion.

Must be restorable.

Question 9

Radiographic exam for a tooth in order to do a pulpotomy?

Answer 9

No furcation involvement.

No periapical RL

Want at least 2/3 of the root remaining.

Question 10

What fraction of the root must remain in order to do a pulpotomy?

Answer 10

2/3

Question 11

What does excessive bleeding after coronal pulp amputation indicate?

Answer 11

Radicular pulp is infected.

Question 12

What does the following indicate: No bleeding after coronal pulp amputation.

Answer 12

Radicular pulp is necrotic.

Question 13

What do you want to see in terms of bleeding when doing a pulpotomy?

Answer 13

SOME bleeding, but it shouldn’t be hemorrhagic or not bleed at all (indicates necrotic canal).

Question 14

Chamber medicament for a pulpotomy.

Answer 14

Formocresol
Ferric sulfate
MTA

Question 15

Once the chamber medicament has been placed for a pulpotomy, what material is used to fill the rest of the the camber?

Answer 15

IRM (Intermediate Restorative Material).

Then a stainless steel crown is placed on top.

Question 16

Bad thing about formocresol.

Answer 16

Carcinogenic.

Question 17

When is formocresol CONTRAINDICATED?

Answer 17

Cvek pulpotomy!

Question 18

How does Ferric Sulfate work?

Answer 18

Seals off blood vessels to cause hemostasis.

Question 19

This intracanal medicament promotes hard tissue formation.

Answer 19

MTA

Question 20

Sets in the presence of moisture.

Answer 20

MTA

Question 21

Pulpal diagnosis that indicates a kid needs a pulpectomy.

Answer 21

Necrotic or IRREVERSIBLE pulpitis

Question 22

Resorbable filling material

Answer 22

Iodoform or Calcium Hydroxide.

Question 23

How long after eruption are permanent roots formed?

Answer 23

3 years.

Question 24

What do you have to remember to place on top of Calcium Hydroxide?

Answer 24

Vitrebond liner.

Question 25

What is a Cvek pulpotomy?

Answer 25

Partial pulpotomy done for a traumatic exposure.

Question 26

Whether an adult or child, what must the pulpal diagnosis be in order to do a pulpotomy?

Answer 26

Normal or REVERSIBLE pulpitis.

Question 27

Continued physiologic development and formation of the root’s apex.

Answer 27

Apexogenesis

Question 28

When you close the root end.

Answer 28

Apexification