Lec 12 Flashcards

1
Q

must destroy bacteria AND their substrate to have successful RCT

A

TRUE

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2
Q

instrumentation can only accesses what percent of the canal anatomy?

A

60-70%

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3
Q

what concentration of NaOCl is used

A

8.3%
-chart every time

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4
Q

NaOCl must remove both organic tissue and biofilm

A

TRUE

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5
Q

keep needle how many mm from working length?

A

2 mm

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6
Q

you should BIND the needle tip in the canal

A

FALSE
never bind the needle
go in and out gently

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7
Q

functions of NaOCl

A

-kills MO on contact
-destroys and dissolves substrate
-disorganizes biofilm
-dilutes toxins
-disinfects RCS
-lubricates canal
-floats out debris

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8
Q

replace NaOCl how often?

A

3-5 min

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9
Q

how often should you irrigate

A

following use of each instrument

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10
Q

what is Dankins solution?

A

0.25% NaOCl
used for surface disinfection

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11
Q

how much NaOCl is used in a typical case?

A

10-12 cc

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12
Q

NaOCl must be in contact with canal for how long?

A

30 minutes in a canal enlarged to #30 or larger

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13
Q

size of patency file

A

10 file

go 0.5 mm out of apex thru foramen to break vapor lock

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14
Q

use of endo activator

A

agitates irrigants to improve debridement
-place tip 2 mm from WL for 1 min
-removes biofilm, CaOH, activates NaOCl
-doesnt reduce time required

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15
Q

EDTA does what?

A

removes the smear layer
17% concentration
used for 1 min
use NaOCl after to stop action

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16
Q

2% CHX can also be used as an irrigant

A

FALSE
-does not remove biofilm and also forms precipitate
-not necessary

17
Q

RCS can be sterilized

A

No it cant
-some MO will remain but will be sealed and killed

18
Q

what is vapor lock?

A

when the NaOCl cannot reach the apex
-open with #10 file to patency

19
Q

what does recapitulate mean?

A

flood canal system with NaOCl every 3-5 min
-use #10 file to prevent vapor lock and reach apex