Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Endo II > First Quizz > Flashcards

First Quizz Flashcards

(69 cards)

Start Studying
1
Q

What’s necessary to confirm a preliminary dx?

A

Clinical and rx examinations with periodontal evaluation and clinical testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which are the 6 things to take into account for an endo dx?

A
  1. Medical-dental history
  2. Chief complaint (queja ppal)
  3. Clinical exam (Exploración física)
  4. Clinical pulpal/periapicaltesting
  5. Rx analysis
  6. Additional tests
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is a normal pulp considered?

A

Pulp without syntoms and normal response to pulp testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is considered a reversible pulpitis?

A

present discomfort at cold/hot stimulus but goes away seconds after removing it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is considered a symptomatic irreversible pulpitis?

A
  • Sharp pain upon thermal stimulus
  • Lingering pain (30+ secs after removing the stimulus)
  • spontaneity
  • referred pain
    (sometimes doesn’t bother percussion)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is considered an asymptomatic irreversible pulpitis?

A
  • no symptoms
  • normal response to thermal testing
  • Had trauma or deep caries exposing the pulp
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is considered a pulp necrosis?

A
  • causes apical periodontitis as long as tha canal is infected
  • Tooth does not respond
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is considered a normal apical tissue?

A
  • non sensitive to percussion or palpation testing
  • the lamina surrounding the tooth is intact
  • the periodontal ligament space is uniform
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is considered a symptomatic apical periodontitis?

A
  • presents inflammation of the apical periodontium
  • painful response to biting and/or to percussion or palpation
  • may or not be accompanied by rx changes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is considered a asymptomatic apical periodontitis?

A

inflammation & destruction of the apical periodontium that has a pulp origin
- no clinical symptoms
-apical radiolucency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the characteristics of a chronic apical abscess?

A
  • inflammatory reaction to pulpal infection and necrosis
  • litte o no discomfort
  • intermittent discharge of pus through a sinus tract
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is an Acute apical abscess?

A

inflammatory reaction to pulpal infection and necrosis characterized by rapid onset, spontaneous pain, sensitivity of the tooth to pressure, pus formation and swelling of associated tissues
-malaise, fever and lymphadenopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is considered a condensing osteitis?

A

diffuse radiopaque lesion as a localized bony reaction to a low-grade inflammatory stimulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which are the three main avenues of communication of the pulp and the periodontum?

A
  1. exposed dentinal tubules
  2. small portals of exit
  3. the apical foramen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which are the small portals of exit ?

A

lateral & accessory canals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when is a pulp severely affected by a periodontal disease?

A

when the periodontal disease has caused a recession that has opened a lateral or accessory canal to the oral environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what happens once the pulps becomes infected?

A

most likely to get a perirradicular lesion and inflammation in the apical tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what bacteria has been well identified as a root canal presence?

A

spirochetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are the contibuting factors for a pulp and periodontal inflammation?

A
  1. poor endodontic treatment
  2. poor restoration
  3. trauma
  4. resorption
  5. perforations
  6. developmental malformations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What information is necessary to gather pior any treatment when a dental trauma has occurred?

A
  1. px’s name, age, sex, contact #
  2. CNS symptoms after the trauma
  3. px’s gral health
  4. WHEN, WHERE & HOW
  5. tx px received elsewhelre
  6. history of previous dental injuries
  7. disturbances in the bite
  8. tooth reactions to thermal changes o sensitivity
  9. if teeth are sore to touch/eating
  10. if there’s spontaneous pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what has to be done in the case of avulsion and tooth being out of its socket?

A

place the tooth in physiological solution, milk or saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

which are the symptoms of a possible intracranial hemorrhage or a serious cerebral concussion after a head injury?

A

loss of consciousness
post traumatic amnesia
Nausea or vomiting
fluids from ear/nose
situational confusion
blurred vision
uneven pupils
dificulty to speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what might happen to the response of the tooth after a trauma?

A

the pulp might be non responsive for several weeks due to the trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what’s the aim of treating a dental trauma?

A

mantain or regain pulpal vitality in traumatized teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
which are the two groups in which the dental trauma is divided?
fractures & luxation injuries
26
which are the types of fractures
crown crown-root root fractures
27
what's a complicated fracture?
when the pulp is exposed
28
what's an uncomplicated fracture?
when the pulp is NOT exposed to the oral environment
29
what's the most esthetically solution in a crown fracture?
to look for the broken-off tooth fragment and rebond it to the tooth
30
If there is at least 0.5 mm of the dentin remaining covering the pulp in a crown fracture
there's no need to cover it with a protective liner
31
If there is less than 0.5 mm of the dentin remaining covering the pulp in a crown fracture
it's necessary to cover the pulp with a cavity liner
32
when a crown-root fracture is presented what has to be done?
the fracture margin has to be exposed around the tooth or crown to properly restore the tooth
33
what has to be done when there's a fracture line is in the sulcus
a gingivectomy to expose the fracture line and restore it appropiately
34
what other treatments can be done to expose the fracture line when its further than the sulcus
extrude the tooth with orthodontic forces or repositionated surgically
35
a crown fracture where the pulp is exposed
it has to be protected with a liner
36
A lack of response to vitality tests after a trauma
doesn't always indicate the need of a root canal treatment and it's advisable to look for at least another signs of pulpal necrosis
37
what other signs besides no reponse to vitality tests can indicate pulpal necrosis
vestibule swelling, periapical lesions and or a dramatic color change of the crown
38
if there's no other signs besides no response to vitality tests for pulpal necrosis what has to be done?
continue to monitor the px at regular appointments every three months up to 1 year
39
what's affected in all root fractures
the pulp
40
in a root fracture if there's enough approximation between the fragments what's the thing most likely to occur?
the pulp will revascularize itself across the fracture
41
T or F: All luxation injuries will cause some damage to the periodontal ligament and in some cases the pulp as well
True
42
what's the immediate treatment when a luxation occurs
limit further damage to the pdl
43
what late complications can occur due to the luxation?
internal or external root resorptions
44
In this case the tooth is still in its original location but its tender to percussion
concussion
45
In this case the tooth is still in its original location but its tender to percussion and has increased mobility
subluxation
46
what's the treatment for a subluxation
depends on how much the tooth has moved out of its normal position
47
When an immature tooth is intruded up to 7 mm
it is recommended to wait 3 weeks and watch for signs of re-eruption
47
When an immature tooth is intruded up to 7 mm and shows no signs of re-eruption
can initiate orthodontic repositioning
47
For intrusion of more than 7 mm
surgical or orthodontic repositioning should be performed within three weeks
47
In the case of an intruded tooth with a closed apex, there is a possibility of reeruption if
if the tooth is slightly intruded (less than 3 mm) and the patient is younger than 17 years old
47
what's the risk of all the intrusions after a luxation
the ankylose of the tooth in the infraposition
48
Splinting of a luxated tooth is only recommended for teeth that
are still mobile after repositioning
48
In all types of trauma cases, a splint must allow
for physiological movement
48
in a luxation trauma, if the apex is still open
there is a chance that the pulp will survive the trauma or revascularize allowing the growth of the tooth
49
in a luxation trauma, If the apex is closed
endodontic treatment is likely needed
50
what can occur if the necrotic pulpal tissue becomes infected when there's an injury to the pdl
a rapid inflammatory root resorption
51
For mature teeth diagnosed with necrotic pulps what is recommended to place for two to four weeks prior to obturation
calcium hydroxide
52
what should we wait for before placing calcium hydroxide prior an endodontic treatment
allow the pdl to heal
53
in the case of luxation, what is recommended for teeth with open apices
apexification or revascularization
54
In the case of avulsion what are the conditions to have a fairly good prognosis after replanting the tooth
replacing no more than 30mins after o having kept it in a physiological solution of specialized media or milk for a few hrs
55
in the case of avulsion, If the tooth has been dry for more than 1 hour, the periodontal ligament cannot be expected to survive and the tooth will likely become ankylosed
true
56
in the case or avulsion, once the teeth has been reimplanted what do we use to stabilize them
a physiological splint for 2 weeks
57
If the avulsed tooth has an open apex and was reimplanted within the hour, there is a possibility that the pulp will revascularize
true
58
in the case of avultion and a tooth with a closed apex there's no revascularization going to happen, so what's the treatment that has to be done?
endodontic treatment
59
in the case of a tooth with a closed apex when it's time to do the endodontic treatment after the reimplantation of the tooth?
2 weeks after the reimplantation and prior to the removal of the splint
60
early treatment or manipulation of the tooth inmmediately after reimplantation can cause
damage to the pdl
61
placing calcium hydroxide immediately after reimplantation
will promote inflammation that will lead to pdl damage
62
in the case of avulsion, if the tooth has been kept dry longer than 60 mins what has to be done prior to replantation
canal treatment
63

Endo II (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions