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Flashcards in Endo Deck (41):
0

What is the definition of endodontics?

All forms if pulp and root treatment

1

Examples of non surgical endi

Pulpectomy (full removal of pulp)
Pulpotomy (partial removal of pulp)
Pulp capping

2

Surgical endo treatment

Apicetomy

3

When does pulpitis occur?

Due to...
Tooth fracture
Caries
Accidental exposure
Chemical irritation
Severe trauma without fracture
Irritation
Thermal injury

4

Difference between reversible and irreversible pulpitis?

Reversible:
Treated using restoration
Doesn't cause pulp death

Irreversible:
Pulp death - partial/complete
Possible extraction
Requiring surgical endo

5

How is an abcess treated?

Incise and drain
Drain through canal
Antibiotics (amoxicillin, eryth, met)

6

What type of infection is an abscess?

Acute

7

Diagnosis?

Exam
Vitality testing
Radiographs

8

Methods of testing vitality?

Hot
Cold (ethyl chloride)
Electric pulp testing
Discolouration
Drill

9

How many radiographs should be taken when endo is performed

5

10

Stages of radiographs for endo treatment

Initial
Working length
Final instrumentation
Post canal obturation
Review

11

What are the complications if endo?

Nerve damage
Brittle teeth
70-80% success rates
Oroantral fistula (hole)
Possible extraction

12

What is another word for Pulpectomy

Root canal treatment

13

What does a barbed broach do?

Extirpate the pulp

14

What does a root reamer do

Enlarge root canals

15

What does an endo file do

Enlarge, shape & clear root canals

16

What does an irrigation syringe/solution (bleach/sodium hypochlorite) do?

Irrigate canals
Remove debris

17

What does a metal ruler do?

Measure the working length of canals

18

What does an apex locator do?

Determine the working length of canals

19

What does a spiral paste filler do?

Spin canal sealant material into canals

20

What does a lateral condenser/finger spreader do?

Condenses gotta percha points into root canals

21

What does ledermix do? (Antiseptic paste)

Dress infected canals

22

What is cresophene used for?

It is soaked onto paper points before insertion into infected canals

23

What do gutta percha points do?

Obturate (widen) root canals

24

What is sealing cement used for?

Helps insertion of gp points and seals off root canals (tubliseal)

25

What is the Bunsen burner/obturator used for?

To heat gp points to obturator canals

26

What is lubricating gel used for?

To ensure instruments do not snap or snap canal walls (used with files and reamers)

27

What are gates gliddens used for?

Used to gain access to root canals

28

What do paper points do?

Dry root canals

29

What is the aim of an open apex root filling?

To form denture barrier on immature teeth

30

What is calcium hydroxide used for?

Encourage secondary denture to form apical barrier

31

What are the two forms of pulp capping?

Direct (when exposed with bleeding)
Indirect (near to exposure)

(Maintains vitality of tooth)

32

Calcium hydroxide - setting

Stimulates formation of secondary dentine

33

What happens after pulp capping?

Deciduous teeth - exfoliate
Permanent teeth - observe/endo

34

What does a apicectomy involve?

Surgical
Remove infected apex of tooth and infected tissue
Save tooth when rct isn't possible/fails
Alternative before XLA

35

What does a periosteal elevator do?

Raise gingival flap

36

What do Surgical hand piece/ burs do?

Remove bone/infected tissue

37

What is a Mitchell's trimmer/surgical currette used for?

Remove infected tissue

38

What does restoration materials do?

Seal canals

39

What do sutures do?

Hold tissue together/aid healing

40

How can swallowing an endodontics instrument be prevented?

Rubber dam