Endo Summary Flashcards
(46 cards)
Maxillary roots+canals
Central 1 (1)
Lateral 1 (1)
Canine 1 (1)
1st premolar 2 (2)
2nd premolar 1(1)
First molar 3 (4)
2nd molar 3 (3)
Mandibular roots+canals
Central 1 (1)
Lateral 1 (1)
Canine 1 (1)
1st premolar 1 (1)
2nd premolar 1 (1)
1st molar 2-3 (3)
2nd molar 2 (3)
Endo Assessment
Sinus
Colour
Swelling
TTP
EPT/ECL
Mobility
Pockets
Radiographs
Endo contraindications
Preg 1st trimester - emergency only
CVD within last 6mths
Cancer - XLa preffered
Endo medical indication
Pt on bisphosphonates currently RCT>XLa
Success rates for 1st endo to 2nd
90% - 1st RCT
80% - 2nd RCT
Functions of pulp
Nutrition, sensation
Design objects for RCT (3)
- Create a continuously tapering funnel shape
- Maintain apical foramen in original position
- Keep apical opening as small as possible
Function of mechanical prep
Creates space for irrigate + shape to obturate
NaOCl advantages
Antimicrobial activity
Dissolves necrotic + vital tissue
Disrupts smear layer
Important factors for NaOCl (5)
Concentration
Volume
Contact
Mechanical agitation
Exchange
Disadvantages of NaOCl
Effect on dentine
Inability to remove smear layer itself
Sodium hypo incidents - eye/fabrics
Apical extrusion –> tissue necrosis
Allergic reactions
Define the smear layer
Layer of organic+inorganic material found on dentinal walls after instrumentation
What is the disinfectant protocol (3)
NaOCl 3% 30ml for 10mins
17% EDTA 1 min
NaOCL final rinse
Function of EDTA
Chelating agent removes smear layer
CHX function
Antibacterial but unable to disrupt biofilms
Anaphylaxis risk
What is EWL
PreOp PA - 1mm
What is CWL
Confirmed with EAL,length for prep+obturation
What is a MAF
Largest diameter file to WL
Represents final prep size of apical portion of canal
List different file movements
Filing
Reaming
Watch winding
Balanced force
Envelope of motion
Function of barbed broach
Extirpation
What motion do we use K files in
Filing
Function of Hedstroem files
GP removal or fractured instruments
NiTi files advantages
Superelasticity
Greater taper + cutting efficiency over SS (K files