Endo Final Studyguide (21 + 22) Flashcards

(71 cards)

1
Q

T/F: Inject LA in swollen tissue

A

False

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2
Q

Best LA for bone penetration:

A

Articaine (Thiophene ring)

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3
Q

Taper of hand instruments at UMKC:

A

0.04

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4
Q

Ludwig tissue spaces include:

A

Sublingual
Submandibular
Submental

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5
Q

T/F: The best prognosis is soley based on time for HRF

A

False- it is based on

  1. time since injury
  2. age of patient
  3. cooperation of patient
  4. follow-up availability
  5. approximation opportunity
  6. stabilization options
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6
Q

Children under 5 years _____ injuries in primary dentition, ______ is the most common injury:

A

1/3; luxation

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7
Q

Adolescents 12 years of age ______ suffer dental trauma, most common is _________

A

20-30%; uncomplicated crown fracture

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8
Q

Most common of all dental injuries:

A

luxation injuries

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9
Q

Order of least to greatest damage of luxation injuries:

A
  1. concussion
  2. subluxation
  3. extrusion
  4. lateral
  5. intrusive
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10
Q

Direction & pressure to get straight file through canal

A

watch winding turn

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11
Q

Best way to check for pulp being numb:

A

endo ice- whatever was causing tooth to have pain in the first place

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12
Q

T/F: J lesion on X-ray safe to assume VRF

A

False

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13
Q

Uncomplicated root fracture involves:

A

dentin + enamel (no pulp)

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14
Q

Ability to point to an exact tooth means what has been affected?

A

Inflammation of PDL

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15
Q

T/F: Vital pulpal therapy (VPT) is an appropriate alternative for Class 3 HRF:

A
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16
Q

T/F: Would a small pulp exposure with no other dental history turn diagnosis into irreversible pulpits?

A

True?

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17
Q

HRF worst outcome:

A

No healing; inflammatory tissue

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18
Q

T/F: The most important outcome for HRF is the time it occured

A

False

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19
Q

Lease severe of luxation injuries:

A

concussion

(intrusion = most severe)

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20
Q

Order of laxation injuries least to most severe:

A
  1. concussion
  2. subluxation
  3. extrusion
  4. lateral
  5. intrusion
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21
Q

Most severe luxation injury:

A

intrusion

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22
Q

It is recommended to run avulsed tooth under all but:

A

tap water

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23
Q

Shorter supplemental injection:

A

intra-pulpal

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24
Q

% NaOCl:

A

8.3%

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25
How long must you irrigate with NaOCl?
30 min
26
Classic example of irreversible asymptomatic pulpitis (AIP):
Polyp
27
T/F: Cold test was negative, to confirms do EPT
True
28
Total removal of all pulp canal to terminal end:
Pulpectomy
29
T/F: Long needle for Now Gates is required
False
30
T/F: #4 bur on mandibular incisors
False- #2 bur is use on anterior teeth
31
Maxillary premolar access shape:
Oval with MD buccal-palatal
32
All of the following are VRF except: a- J shape b- drop pocket c- elevated temp d- previously treated successful RCT
c- elevated temp
33
% of treatments that are left in RCT:
30%
34
T/F: Use bur to find canal
False
35
NaOCl breaks down and becomes inactive within:
3-5 min
36
Dentist removed nerve and put temporary material in the tooth, what is the diagnosis:
Previously initiated treatment
37
Previous dentist removed nerve and tooth is not responsive to sensitivity tests. No PARL. Periapical diagnosis:
Healthy tissue
38
What is used to ensure a seal is placed in addition to a rubber dam:
Oraseal
39
DST is indicative of:
Chronic apical abscess (CAA)
40
Pimple on gums is indicative of:
Chronical apical abscess (CAA)
41
T/F: If you cannot place a rubber dam than it is below the standard of care
True
42
MB2 canal with maxillary first molar seen 95% of cases:
True
43
What tooth causes the most issues when trying to numb?
Mandibular first molar
44
Lingering pain is a sign of:
irreversible symptomatic pulpitis
45
Toothbrush abrasion, hypersensitivity to cold, but normal response for all other clinical tests:
Reversible pulpitis
46
T/F: VRF has a better prognosis than HRF
False
47
There is a J shaped lesion & a single mm perio pocket drop off on previously treated RCT, with this information it is safe to assume it is VRF:
False- you have to surgically expose
48
Why would you use VPT on immature tooth with open apex?
Allows roots to get stronger and apex to close
49
Most important factor in acheiving favorable outcome in an avulsed tooth:
dry time
50
IRR has excellent prognosis if RCT is done before perforation into PDL space. ERR has poor prognosis:
Both statements true
51
Rigid & semi-flexible prevents ankylosis by allowing for some small movements:
False (not rigid)
52
On a mandibular incisor there can be two canals. Which one are you likely to miss if you do not create your access incisally?
The lingual
53
Access depth:
7 mm
54
Which bur for mandibular incisor access?
#2 round or 333
55
Narrowest MD access?
Mandibular central
56
Shape of access for maxillary central incisor:
Triangle with base at incisal
57
Most likely to have two roots:
Max 1st premolar
58
The worst thing you can do during access:
perforation
59
If you fail to locate & obturate a root canal during RCT it is likely it will fail:
true
60
Manidbular molar has a _____ outline and try to avoid missing the ____ canal
Trapezoidal; DL
61
what is true about MB2 canals with maxillary first molars?
Seen in 95% of cases
62
Most common reason for pretreatment of maxillary first molars:
MB2 canal
63
Hardest root canal to perform:
Maxillary molar with 5 canals
64
Biggest challenge for anesthetic:
mandibular molar with SIP
65
What is the most important factor regarding 8.3% NaOCl?
DON'T let needle bind
66
What is the first thing to do after 1 min of EDTA use?
NaOCl to inactivate the EDTA
67
Taper of blue vortex rotary files:
0.06
68
Which file is used for scouting?
#10 SS hand file
69
How to get the SS stuck in the dentin:
Continued clockwise rotation
70
When using a straight file a ledge is created in which area?
Outer wall of canal
71