pulpectomy - apex and anterior preps

Question 1

What is a primary tooth root canal?

Question 2

How does a primary tooth root canal therapy vary?

Answer 2

Varies in primary teeth due to:

Question 3

what must you have to be reasonably successful in a primary tooth root canal?

Answer 3

Endodontic procedures on primary teeth can be very difficult or impossible. To have a reasonable success you must have:

a) Accessible canals
b) Adequate supporting bone (no extensive PA or furcation bone loss)

Question 4

if Accessible canals and Adequate supporting bone (no extensive PA or furcation bone loss) are not present what do you do?

Question 5

what is irreversible pulpitis?

Question 6

If it is irreversible pulpitis how is it completed?

Answer 6

Completed in ONE appointment.

Technique:

Question 7

What cases should you select for non-vital primary tooth root canal ?

Answer 7

Case Selection:

Question 8

How many appointments are needed for non-vital primary tooth root canals and what is done in each one?

Answer 8

done in three appointments

Appointment One:

Question 9

For primary tooth root canal therapy what does the success depend on?

Answer 9

1. Adequacy of root canal debridement.
2. Antibacterial irrigation.
3. Antibacterial filling material
   Ca(OH)2 + CPC, ZnO + CPC, ZOE + FC
   are strongest antibacterial
   ZOE alone is medium antibacterial agent

Question 10

What are the clinical and radiographic criterion for determining RCT success?

Answer 10

Criteria for determining RCT success: (Coll et al 1985)

Question 11

what are the successes of different pulpectomy techniques?

Question 12

What does pulpectomy success hav eto do with ZOE?

Question 13

what does follow up have to do with anything?!?

Answer 13

Success rate: ~80%

Question 14

What are the indications for non-vital immature permanent teeth pulpectomy?

Question 15

what are the three options for non-vital immature permanent teeth pulpectomy?

Question 16

How is revascularization performed for non-vital immature permanent teeth pulpectomy?

Question 17

for non-vital immature permanent teeth pulpectomy apexification what is the frank technique?

and how is it done?

Answer 17

Frank (1966) developed a technique that stimulates the formation of an apical barrier to allow for conventional RCT to be done later.

Question 18

how is MTA apexification done?

Question 19

how are anterior preparations done?

Answer 19

reduce the tooth, you have a cap thing and you fill it with composite and squish it on the tooth after the tooth has been etched and bonded. then you cure it and take it off.
then with a scaler and sanding discs you clean it up.