stablization

Question 1

research about indirect pulp cap

Answer 1

partial caries removal have EQUAL SUCCESS copatred to restored teeth with COMPLETE CAREIS REMOVAL

Question 2

direct pulp cap success determined by

Answer 2

asymptomatic vs symptomatic

– teeth asymptoamtic and no clinical or radiographic signs of patholgy at time of pulp capping tend to fare better than those teeth with such factors present

Question 3

indications for INDIRECT PULP CAPPING

Answer 3

on permanent teeth with IMMATURE APICES if all the following conditions exist

• tooth has large carious lesion that is considered likely to resul in pulp exposure during excavation
• NO HISTORY of subjective pretreatment symptoms
• radiographs exclude peri-radicular pathosis
• patient has been fully informed that endodontic treatment may be indicated in the future

Question 4

indications for direct pulp capping

Answer 4

indicated when all of these conditions exist

• mechanical exposure of a clinically VITAL AND ASYMPTOMATIC PULP occurs
• bleeding is controlled at the exposure site
• exposure permits the capping material to make DIRECT CONTACT with the vital pulp tissue
• exposure occurs when the tooth is under a DENTAL DAM ISOLATION
• adequate seal of the coronal restoration can be maintained

Question 5

use of cavit? describe

Answer 5

old material

endo and inlay applications

but no occlusal load or compressive sstrength

• LACKS MECHANICAL PROPERTIES – SO NOT ADVISED TO USE IT IN THIN LAYERS OR IN
  COMPLEX ENDODONTIC ACCESS CAVITITES

IT EXPANDS TOO MUCH

Question 6

cavit is made of?

Answer 6

zinc oxide / calcium sulfate material

Question 7

IRM vs cavit

Answer 7

IRM – zinc oxide eugonal WORSE than cavit - zinc oxide / calcium sulfate

Question 8

all temporary materials _____ to some extent

Answer 8

LEAK

Question 9

which is more anti microbial? zinc oxide eugonal (IRM) or cavit

Answer 9

zinc oxide eugonal

Question 10

describe the resin based temporary materials

Answer 10

must be BONDED to provide an effective seal because they undergo polymerization shrinkage but somewhat offset because
they absorb water and may swell

but lack some of the anti-microbial properties

Question 11

bonded resins are recommended for temporization?

Answer 11

yes – likely to last more than 2-3 weeks

Question 12

good choice for long term temporization?

Answer 12

resin modified glass ionomer materials

provide a bond to dentin and enamel and many have antimicrobial properties

Question 13

composites as material in capping?

Answer 13

etch and primer components are vasodilators and can increase bleeding that contaminates adjacent dentin and degrades adhesin

can also result in INFERIOR PULP healin and can result in INFLAMMATION – poor environment for pulp healing

Question 14

MPa of resin modified glass ionomer

Answer 14

155 MPa

3X cavit

Question 15

two examples of good long -term temp materials

Answer 15

GIC
- glass ionmer celments – chemcially bond to hard tooth structure

or resin based materials including composite resin modified glass ionomer cements (RMGIC) – like Fuji

Question 16

disadvantages to glass ionomer

Answer 16

less polishability than resin

- less esthetic compared to composite

Question 17

advantages of glass ionomer

Answer 17

clinical studies are there

adheres to dentin and enamel with minimal prep

tooth colored , easy to manipulate

can be used as interim or definitive restorative material

can be used as a base sometimes

Question 18

good material for caries control?

Answer 18

glass ionomer

Question 19

the disease control phase as three important components ..

like describe caries control

Answer 19

1. caries RISK ASSESSMENT
   - evaluation and reevaluation throughout treatment (identify the individual patient risk)
2. CARIES REMOVAL and placement of TRANSITIONAL RESTORATIONS using FLUORIDE RELEASE restorative materials (glass ionomers)
3. chemotherapeutic agents and preventive treatment

Question 20

pulpotomy’s general associated with

Answer 20

primary teeth – removal of coronal ulp tissue

emergency procedure in permanent teeth until root canal tx can be accomplished and an interim procedure for permanent teeth with IMMATURE root formation to allow continual root development (apexogenesis)

Question 21

pulpectomy

Answer 21

expiration of normal or diseased pulp to or near the apical foreman

Question 22

emergency tx for irreversible pulpitits

Answer 22

pulpECTOMY and palce CAOH in the canals and restore the proximal contact wi
th ketac Molar

Question 23

future endo therapy after the emergency pulpectomy includes

Answer 23

ENDO – core build up with FluoroCore – foundational restoration and place a e.Max all ceramic crown

Question 24

FluoroCore is what type of material

Answer 24

foundational restoration – core build up often used in endo