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PEDIATRIC DENTISTRY > L.10 PULP Therapy > Flashcards

L.10 PULP Therapy Flashcards

(60 cards)

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1
Q

TERMS/Abbreviations: Protective Liner AKA:

A

A base

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2
Q

TERMS/Abbreviations: IPT

A

Indirect Pulp Therapy (Treatment)(Cap)

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3
Q

TERMS/Abbreviations: DPC

A

Direct Pulp Cap

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4
Q

TERMS/Abbreviations: PT or Pulp

A

Pulpotomy

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5
Q

TERMS/Abbreviations: RCT

A

Root Canal, Pulpectomy, Endodontics, Endo

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6
Q

TERMS/Abbreviations: ITR

A

Interim Therapeutic Restoration

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7
Q

TERMS/Abbreviations: ART

A

Alternative Restorative Treatment

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8
Q

TERMS/Abbreviations: IRM

A

Intermediate Restorative Material (ZOE)

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9
Q

TERMS/Abbreviations: TempIt

A

non-eugenol Zinc Oxide

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10
Q

TERMS/Abbreviations: FMC

A

(FC): Formocresol

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11
Q

TERMS/Abbreviations: FS

A

: Ferric Sulfate

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12
Q

TERMS/Abbreviations: MTA

A

: Mineral Trioxide Aggregate

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13
Q

TERMS/Abbreviations: BioCeramics:

A

EndoSequence, MTA

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14
Q

An Objective of pulp therapy: Immature Permanent tooth requires vital pulp to continue __________

A

Apexogenesis

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15
Q

An Objective of pulp therapy: Maintain a non-vital tooth clinically ________

A

functional

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16
Q

What are the 3 topics covered at every single dental appointment and will help us diagnose a pulp problem?

A

1.Dental Hx 2.Med Hx 3.Social Hx

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17
Q

Characterizing Pain: What diagnosis do these pain signs support? Spontaneous, Prolonged, Nocturnal

A

IRREVERSIBLE PULPITIS

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18
Q

Characterizing Pain: What diagnosis do these pain signs support? Thermal, Chemical, Intermittent

A

REVERSIBLE PULPITIS

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19
Q

Extra Oral Examination: _________ needs immediate attention Hospitalization needs to be considered

A

Facial Swelling

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20
Q

Once the tooth has ________, it is often times asymptomatic

A

fistulated

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21
Q

A primary incisor that has been INJURED and is exhibiting a _______ color change with no other symptoms, and no radiographic changes, may NOT need treatment
>____% remain asymptomatic

A

grayish…50%

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22
Q

Can you perform Apexogenesis with Pedo Teeth?

A

No, needs to be perm.

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23
Q

How much of a permanent tooth’s root needs to be present to perform Apexogenesis?

A

2/3 of the root

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24
Q

Pulp Test Reliability: Primary teeth, electric testing?

A

Not an indicator

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25
Pulp Test Reliability: Immature permanent teeth, electric testing?
Yes, but not a very strong indicator
26
Pulp Test Reliability: Mature permanent teeth, electric testing?
yes, but not a very strong indicator
27
Pulp Test Reliability: primary teeth, thermal testing?
yes, but not the best indicator (percussion/mobility is)
28
Pulp Test Reliability: Immature permanent teeth, thermal testing?
yes, but not a very strong indicator
29
Pulp Test Reliability: mature permanent teeth, thermal testing?
yes, BEST teeth that thermal testing works on!
30
Pulp Test Reliability: primary teeth, percussion/palpation/mobily testing?
YES, BEST indicator for primary teeth!
31
Pulp Test Reliability: immature permanent teeth, percussion/palpation/mobily testing?
yes
32
Pulp Test Reliability: permanent teeth, percussion/palpation/mobily testing?
yes, good indicator
33
Overall, is pulp testing reliable in primary teeth?
NO
34
What are the 5 questions you need to answer to make a proper diagnosis in a pulp situation?
1.Vital? 2.Can it be saved? 3.Should it be saved? 4.Functional? 5.Alternative?
35
If the treatment leads to exposure of the pulp, a final determination of pulpal status can be obtained by inspection and evaluation of the quality (_____) and ______ of bleeding from the pulp tissue.
COLOR...AMOUNT
36
Profuse bleeding or purulent exudate are indications of ___________ .
irreversible pulpitis
37
Reversible pulpitis should exhibit WHAT COLOR bleeding that can be arrested within HOW MANY minutes by mild pressure from a cotton pellet.
BRIGHT RED...5 minutes
38
What are the 4 options for PULP therapy in a VITAL primary tooth? What is the 1 option for a NON-vital tooth?
Vital: 1.Protective Layer 2.Direct Pulp Cap 3.Pulpotomy 4.Indirect pulp therapy....NON-vital: Pulpectomy
39
What is the main goal of using a protective liner?
to Promote Tertiary dentin
40
What are the two main Protective Liners used? Which one is used more?
1. GI (Fuji, VITREBOND) 2.Calcium Hydroxide (DyCal)...DyCal is being phased out, so used less than GI
41
YOU ONLY DO A DIRECT PULP CAP WHEN THE EXPOSUE IS _______ IN SIZE!! (
pinpoint (
42
What pulp therapy treatment is NOT recommended in a Primary tooth with carious exposure?
Direct Pulp Cap
43
Why is a direct pulp cap NOT recommended in a primary tooth?
Mesenchyme-->odontoblasts-->INTERNAL RESORPTION...aka: Primary carious DPC are not successful due to inflammation leading to internal resorption
44
What are the three materials for a direct pulp cap?
MTA, BIO, CaOH
45
In Primary tooth, do _______ for carious exposure or if in doubt about type of exposure
pulpotomy
46
Is the primary tooth vital or non-vital when considering a pulpotomy?
Vital!
47
Contraindication for a Pulpotomy is an Indication for WHAT TWO PROCEDURES?
1. Non-Vital Pulpectomy or 2.Extraction
48
How much do you extend the walls of your chamber access in a pulpotomy on a primary tooth?
1/2 the cusp width
49
What bur do you use to remove pulp tissue?
SLOW SPEED 6 or 8 round
50
After the coronal pulp is amputated, healing can occur in 3 ways...1: the remaining radicular pulp can be rendered inert, by using _________. It fixes or denatures the vital pulp so it is no longer pulp tissue. In addition to its bactericidal properties.
formocresol
51
After the coronal pulp is amputated, healing can occur in 3 ways...2: the radicular pulp might be preserved through minimal inflammatory insult by using a hemostatic agent such as _________ to form a clot barrier to preserve the deeper remaining pulp tissue.
ferric sulfate
52
After the coronal pulp is amputated, healing can occur in 3 ways...3) pulpotomy mechanism encourages the radicular pulp to heal and form a dentin bridge by using ____________.
mineral trioxide aggregate (MTA)
53
Pulpotomy: Once you have established that the pulp is vital and you have gained hemostasis with light pressure... Formocresol pellet; damp-not wet; ___ minute application
5 minute
54
Pulpotomy: Once you have established that the pulp is vital and you have gained hemostasis with light pressure...Ferric Sulfate direct application for ___ seconds; rinse away when done with application; remove EXCESS moisture
15
55
Do you ever use Ferric Sulfate and Formocresol together?
HELL NO.
56
Pulpotomy: AFTER amputating the radicular pulp, seal/fill (obturate) the chamber with _______, and then finish the restoration with _______
ZOE (IRM)....a stainless steal crown
57
ZOE + hardener (aka "steroids) =
IRM (intermediate restorative material)
58
Pulpotomy: What material has similar success or better with less resorption than formocresol or ferric sulfate
MTA
59
Pulpotomy: _______ success similar to FS | Likely due to Antimicrobial/Antibacterial effect of NaOCL
NaOCL
60
What is the other, newer material along with MTA for sealing a pulpotomy?
Bioceramics (Endosequence)

PEDIATRIC DENTISTRY (11 decks)

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