DT 3 Endodotics

Question 1

Define endodontics

Answer 1

treatment of the dental pulp

and the tissues that surround the root of the tooth

Question 2

Education required for Endodontics

Answer 2

DDS requires 3 years

Question 3

what was done historically to relieve tooth pain ?

Answer 3

pulp chambers were covered with gold foil or asbestos

Question 4

year endodontics was recognized as specialty

Answer 4

1963

Question 5

WHO describe removal of pulp tissues?

Answer 5

Pierre Fauchaud

Question 6

How does endodontic disease occur?

Answer 6

infected/inflammation of pulp tissue and nerves

Question 7

cause of pulp inflammation/infection

Answer 7

physical damage by decay, or injury

Question 8

abscess?

Answer 8

a localized area of pus

Question 9

What affect does chronic damage to the pulp have?

Answer 9

Nercosis

dead blood vessels of tooth

Question 10

symptoms of pulpal nerve damage

Answer 10

pain during mastication

sensitivity to hot/cold

noticeable facial swelling

Fever

Crack/discolored tooth

TEnder gingiva

Question 11

Fracture

Answer 11

Tooth is broken

chewing on hard foods,

grinding your teeth at night,

Question 12

Avulsion

Answer 12

displacement of a tooth from its socket in alveolar bone due to trauma

Question 13

When is endodontics indicated?

Answer 13

pulpal nerve damage

fractured

avulsion

tooth is structurally sound enough to be restored back to function,

Question 14

contraindications to endodontic treatment

Answer 14

-tooth not structurally sound

extensive coronal damage

bone loss

tooth loose

root fracture

infection

Question 15

subjective examination

Answer 15

evaluation of symptoms or problems described by the patient/ history of the patient’s pain.

(what we hear)

Question 16

objective examination

Answer 16

evaluation of the status of the tooth and surrounding tissues

(what we see)

Question 17

The first logical diagnostic tools for ENDO ar:

Answer 17

exam and radiographs

Question 18

Diagnostic test: control tooth vs. suspect tooth

Answer 18

control tooth is healthy tooth of the same type

suspect tooth - tooth bothering pt

Question 19

The purpose of percussion

Answer 19

determine if inflammation has reached the periapical tissues.

tapping on incisal and occlusal with mirror handle

Question 20

The palpation test

Answer 20

helps detect sensitivity / swelling

done by applying firm pressure to the mucosa above the apex of the root.

Question 21

tooth Mobility test

Answer 21

uses 2 mirror handle ends

normal mobility is 1-2 mm

Question 22

Thermal Test _COLD

Answer 22

no response- pulp is dead

cold relive pain= irreversible pulpitis

cold painful= irreversible pulpitis

Question 23

Thermal Test

Answer 23

not as reliable as cold test

positive response = irreversible pulpitis

Question 24

electric pulp test

Answer 24

delivers a small electrical stimulus to the pulp

can’t be used with patients who have pacemakers.

Question 25

Radiographs taken for Endo

Answer 25

Pariapical

Question 26

Aa Diagnostic Periapical is taken to determine ____

Answer 26

abscess or inflammation present

Question 27

of Radiographs RCT procedures

Answer 27

3 PA during- detemine canal length PA after- make sure canal filled PA recalls- make sure no re-infection and seal is maintained

Question 28

Bleaching non-vital

Answer 28

tooth dies and the pulp is not removed BLOOD cause stain tooth opened on lingual pulp cleaned and bleached applied repeated after 3-7 days

Question 29

Hemisection

Answer 29

root and crown split lengthwise and removed typically done on MANDBILUAR molars

Question 30

Apicoectomy

Answer 30

removal of apical area of root that has PREVIOUS RCT Root apex and abscess removed using a bur and sutured

Question 31

e

Answer 31

d

Question 32

Endo procedure: Open and drain

Answer 32

tooth is drilled, dental pulp is removed tooth is left open so the abscess can continue to drain 2nd appt= pt. return for the RCT to seal the tooth

Question 33

Pulpotomy

Answer 33

Removing the coronal portion of an exposed pulp covering it with a sedative dressing to preserve pulp vitality

Question 34

Emergency pulpectomy

Answer 34

dental pulp is removed the canals are filled and topped with a filling Performed on vital primary teeth and

Question 35

Root canal therapy involves

Answer 35

access to pulp through crown removal of infected pulp cleaning RC space filling space with material place filling on top

Question 36

RCT : Single appointment

Answer 36

everything complete in 1 appointment typically 60 to 120 min

Question 37

RCT: Multi appointments

Answer 37

2-3 appt to complete 60-90 min appt often booked 1-3 weeks apart

Question 38

RCT Calcified Canals

Answer 38

secondary dentin fills canal due to aging makes it difficult to access pulp

Question 39

RCT Exceptional Anatomy

Answer 39

root are slightly curved

Question 40

RCT: Difficult Access

Answer 40

there are limited openings

Question 41

RCT is succeful __% of time

Answer 41

90-95% of the time-

Question 42

Indications for RCT surgical intervention

Answer 42

endo infection fractured/curved roots

Question 43

Delay in RCT will lead to

Answer 43

Intrinsic Stains

Question 44

non vital bleaching is done on

Answer 44

tooth that has RCT but is stained from blood that leaked into dental tubules

Question 45

Indirect Pulp Cap

Answer 45

pulp tissue is visible through dentin

Question 46

Direct pulp cap

Answer 46

pulpal exposure after decay is removed