Treatment for pain and pulpally involved teeth

Question 1

what are the most common cause of toothaches?

Answer 1

caries “cavities”
pulpitis
trauma
pericoronitis

Question 2

Are caries always visible upon inspection?

Answer 2

they may be visible, but may also require radiographs to diagnose and may be mistaken for staining.

Question 3

what does pain with chewing implicate?

Answer 3

a local tooth problem

Question 4

focal erythema, swelling, fluctuance, with a possible sinus tract (fistula) suggests what?

Answer 4

periapical or periodontal abscess

Question 5

pericoronitis usually involves which teeth?

Answer 5

3rd molars

Question 6

what is the treatment for pericoronitis (erupting wisdom teeth)

Answer 6

operculectomy or extraction

Question 7

what is the primary treatment of caries?

Answer 7

removal of decayed tissue followed by filling the resultant defect (drill and fill)

Question 8

how long can temporary fillings be left in place for very deep cavities?

Answer 8

6 to 10 wk.

In the hopes that a tooth will deposit reparative dentin, preventing exposure to the pulp, which necessitates root canal treatment

Question 9

what is the most common material used for fillings on occlusal surfaces?

Answer 9

silver amalgam.

Question 10

how long does silver amalgam last?

Answer 10

an average of 14 yrs. if a rubber dam is used for isolation from saliva, many amalgam fillings can last up to 40 years.

Question 11

what has long been used for anterior teeth, where the aesthetics is primary and forces of chewing are minimal?

Answer 11

composite resins.

Question 12

why does composite resins under high occlusal stress generally last less than half as long as amalgam and tend to develop recurrent decay?

Answer 12

because the material shrinks when it hardens and also expands and contracts with heat and cold more than tooth or other filling materials.

Question 13

what provides the same aesthetics as composite resins, but without shrinkage and slowly release fluoride into the tooth?

Answer 13

glass ionomers

Question 14

what materials can IDC’s use for temporary restoration or rebond temporarily dislodged restorations?

Answer 14

Intermediate Restorative Material (IRM)
Glass Ionomer (Fuji)
TempBond and Dycal

Question 15

What are the key points about IRM that are advantages?

Answer 15

contains eugenol to relieve pain

easy to remove or re contour

Question 16

what material is good for bonding splints, rebuilding fractured teeth, and is normally a permanent restorative material that cannot be removed or recontoured without a drill?

Answer 16

Glass Ionomer (Fuji)

Question 17

What material would you use to temporarily re bond a prosthetic or used to replace a crown?

Answer 17

Tempbond or Dycal