Restorative Dentistry and Pulp Therapy Flashcards
What ate the 2 primary objectives in pulp therapy for baby teeth?
1- eradicate infection
2-maintain the integrity and heath of the teeth and supporting tissures
8 reasons why we don’t just pull baby teeth
1- prevent space loss and malocclusion
2- aid in mastication
3- preserve the primary tooth in case of hypodontia
4 - Prevent possible speech problems
5- Maintain esthetics
6- Prevent aberrant tongue habits
7- Prevent potentially damaging psychosocial effects
8-Maintain normal eruption patterns and timing
If a primary tooth is removed, and space is not maintained, what can happen with the premolars?
1st premolar can come in ectopically and resorb roots of 2nd premolar
what are the 5 pulpal therapies offered in pediatric dentistry?
1- protective liner 2- indirect pulp cap 3- direct pulp cap 4- pulpotomy 5- pulpectmy
T/F In relation to crowns, the pulp in primary teeth are smaller than in the permanent dentition
False
Which pulp horn is closest to the outer surface of the tooth?
Mesial pulp horns
**makes it more readily exposed to caries or trauma
T/F Pulp horns under each cusp are longer than suggested by external anatomy?
true
Which arch has molars with bigger pulp chambers?
Mandibular
where do accessory canals in primary teeth lead?
directly to the intra radicular furcation
Describe how roots compare to crown size in primary teeth
Longer and more slender than permanent teeth
Describe primary tooth canals
long, ribbon like, tortuous
T/F primary teeth are wider mesiodistally
False- they are narrower
proper identification and diagnosis requires what 4 things?
1-History
2-symptoms
3- radiographic eval
4- clinical eval
Do you need consent from parents?
yes. Duh.
- *or Legal guardian
- *Get documentation of concent
- *answer all questions
What pulpal therapy is indicated if you have normal pulp, all caries are removed for a restoration?
Protective Liner
what are the 3 purposes of a protective liner?
1- minimize injury to pulp
2- promote pulp tissue healing
3- minimize post-op sensitivity
- *Place in deep spots
- a good seal is more important than the actual material type that is placed
What are the 4 objectives for a protective liner?
1- preserve tooth vitality
2- promote pulp tissue healing
3- promote tertiary dentin formation
4- minimize bacteria microleakage
**Should prevent post-op sensitivity, pain, swelling
5 protective liner materials
1- GLUMA 2- calcium hydroxide 3- bonding agents 4- glass ionomers 5- RMGI
What makes up gluma ?
5% glutaraldehyde
35% HEMA (hydroxyethyl methacrylate in water)
What 4 things does GLUMA do?
1- Desensitizer
2- cavity disinfectant
3- rewetting agent
4- adhesion promoter
what are 2 indications to use an indirect pulp cap?
1- no pulpitis or irriversible pulpitis
2- deepest caries are NOT removed to avoid pulp exposure