Restoring the Endodontically Restored Tooth Flashcards
what are the reasons that root treated teeth continue to give symptoms
PDL
bone
microorganisms
tooth not sterile
lateral/accessory canals
what questions do we ask about pain
SOCRATES
kept awake at night
had this before
any dental work recently
suffered any trauma
what are the retreatment questions before doing retreatment
when was RCT
why was RCT
did treatment improve symptoms
has it changed
dental dam used
hypochlorite used
procedural problems
what is included in the endodontic clinical exam
extraoral
intraoral
soft tissue exam
intraoral swelling
sinus tracts
palpation
percussion
mobility
periodontal exam
what other special tests (non-conventional) could you use
bite test
test cavity
staining and trans-illumination
selective anaesthesia
what are the treatment options for endodontics
RCT
re-RCT
extract the tooth
monitor
surgical intervention
what helps you decide whether to retreat or not
is there a diagnoses
risk/benefit analysis
have you got a good reason for it
do you have consent
is it restorable
what is the radiographic examination for endodontics
root filling - length/condensed
unfilled/missed canals
shape of canal
patency
bone support
crown to root ratio
pathology
what problems may you have after RCT
amount of remaining tooth structure
restoration type
lack or no ferrule
wide post holes
endodontic complications
what are the principles for restoring root treated teeth
cuspal protection for coronal seal and prevention of fracture
what are the reasons for restoring root treated teeth
coronal seal
function
aesthetics
quality of life
what are the different factors that come into play when deciding what restoration to put on an endo tooth
remaining tooth structure
cost
aesthetics
patient preference
time in chair
labs and lab cost
moisture control
health care system
what is a core build up
internal part of tooth built up with restorative material to replace the lost tooth tissue
what does a core provide for definitive restorations
retention and resistance
