Lec Course Policies and Intro Flashcards

1
Q

Define endo:

A

deals w morphology, physiology, pathology of pulp and periradicular tissues

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2
Q

Yrs of training to be an endodontist:

A

2+

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3
Q

To be an endodontist. you must get certiificate from:

A

CODA accredited education program

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4
Q

TF? Endodontists can practice general dentistry.

A

F

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5
Q

% of endo done by general dentists:

A

80%+

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6
Q

of RCT/yr:

A

22 million+

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7
Q

If you don’t plan on doing endo in practice you still need to:

A

have knowledge of disease process to make dx and to refere

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8
Q

Define RCT:

A

elimination of pulp tissue and microorganisms, cleaning and shaping of root canal system, obturation

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9
Q

Goal of RCT:

A

prevention, or elimination of periradicular disease

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10
Q

Root canal systems include:

A

lateral/ accessory canals, isthmuses, and ramifications

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11
Q

Req for a tooth to be saveable via endo:

A

foramina can be sealed (w/ or wo surgery), periodontically sound or can be made so

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12
Q

Are there ever circumstance in which a tooth is not periodontically sound but you belive it can be made soon and, therefore, perform endo before it endodontically sound?

A

ask? check?

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13
Q

RCT is done to:

A

eliminate canal system as if the tooth were extracted

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14
Q

2 main reasons for endo:

A

inflamed or infected pulp

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15
Q

TF? pulpal inflammation or infection is a continuation of the same disease.

A

T

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16
Q

1’ cause of endo disease:

A

bacteria

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17
Q

Causes of endo disease:

A

caries, trauma, cracks, deep restos

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18
Q

TF? no bacteria = no disease.

A

T

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19
Q

TF? Caries must reach pulp directly for pulpal pathosis to occur.

A

F.

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20
Q

How can caries reach pulp and cause pulpal pathosis if it doesn’t reach pulp directly?

A

invade dentinal tubules

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21
Q

Direction of the spread of pathosis:

A

coronal-apical direction

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22
Q

TF? Caries must reach pulp for pulpal pathosis to occur..

A

T

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23
Q

When performing endo, do we remove dentin?

A

yes

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24
Q

When performing endo, do we enlarge the pulp space?

A

yes

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25
Q

Hard tissues of tooth:

A

enamel, dentin, cementum

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26
Q

Soft tissue of tooth:

A

pulp

27
Q

What is the pulp:

A

richly vascularized and innervated CT of ectomesenchymal origin

28
Q

What is the pulp surrounded by:

A

dentin, not flexible

29
Q

Fxns of pulp

A

inductive, formative, nutritive, sensory and protective

30
Q

Why does pulpal inflammation cause so much pain:

A

surrounding dentin is not flexible

31
Q

** Main function of pulp:

A

formative

32
Q

Pulpal changes w time:

A

dec size, nerves, BV’s

33
Q

These inc in time in the pulp:

A

calcification, fibrosis

34
Q

Type of dentin the pulp lays down:

A

3’ or pulpal dentin

35
Q

Layers from pulp core and out:

A

pulpal core, cell-rich zone, cell-free zone (of Weil), Odontoblastic layer, predentin, dentin

36
Q

Pneumonic to remember layers, pulp and out:

A

PC COPD

37
Q

Common mistake when access pulp chamber of multirooted teeth

A

drilling through pulp horn and not removing pulpal ceiling

38
Q

This should be visualized anytime you have a multirooted tooth:

A

pulp camber floor

39
Q

Do all lateral canals connect the pulp to the periradicular space?

A

ask, slide 31 of 48 (Course Policies and Intro) I assume since lateral canals arise from rests in the PDL

40
Q

Which 3rd of the tooth do most endo issue occur?

A

apical 3rd

41
Q

To where do we clean, shape and obturate?

A

apical constriction

42
Q

Apical constriction is aka:

A

minor apical diameter, minor foramen

43
Q

Major apical diameter is aka:

A

apical foramen

44
Q

Do the anatomical apex and RG apex always coincide?

A

ask?
check?
I can’t think of why they wouldn’t
Slide 33 of 48 Course Policies and Intro

45
Q

Are root canals lined with cementum?

A

Not beyond the CDJ near apex

46
Q

TF? Sometime CDJ is interchangeable w minor apical diameter.

A

T, but not always

47
Q

The CDJ ranges from ___ -___mm from anatomic apex:

A

0.5-3mm

48
Q

Apical foramen is aka:

A

major apical diameter

49
Q

minor apical diameter, how far from major foramen?

A

0.5-1mm

50
Q

TF? Minor apical diameter is sometimes in same position as CDJ.

A

T

51
Q

Philosophy of Endo:

A

dx, pretreat, access, clean and shape, obturate, restore

52
Q

Info req for dx:

A

chief complaint, hx, clinical exam, RG exam, pulp test

53
Q

What to do if pulp test result don’t not match chief complaint

A

there may be 2 issues or redo the pulp test

54
Q

Apical periodontitis is aka:

A

lesion of endodontic origin (LEO)

55
Q

When to dx solely based on RG:

A

NEVER!! always pulp test

56
Q

TF? All “lesions of endo origin” are periapical lesions.

A

T check. ask

57
Q

Purpose of pretreatment:

A

to eliminate factors complicating successful endo and future resto

58
Q

2 forms of endo:

A

operative or periodontal manipulation ???

59
Q

Example of pretreatment for endo:

A

crown lengthening

60
Q

Purpose of access cavity:

A

Ease of cleaning, shaping, obturating

61
Q

Fxn of chemical irrigants in endo:

A

demineralize dentin, dissolve pulp tissue, eliminate bacteria and their byproducts

62
Q

This is most important for eliminating the cause of endodontic disease:

A

Irrigation

63
Q

TF? We debride the canal space when cleaniing and shaping.

A

T

64
Q

Technique to use for obturation:

A

aseptic technique