Obturation Flashcards

1
Q

Eliminate ALL AVENUES OF LEAKAGE from the oral cavity INTO
the ROOT CANAL SYSTEM or OUT OF the ROOT CANAL SYSTEM
INTO the PERIODONTAL or ORAL TISSUES
-RCT Success depends upon thoroughness of
removal of irritants and quality of seal of the
canal system including coronal restoration***
-Seal within the RC system any irritants that cannot
be fully removed during canal cleaning & shaping
and prevent their leakage out to the peri-radicular
tissues or leakage of saliva or other contaminates
into pulp system.

A

Obturation

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2
Q
–Can be softened by heat and solvents
–If heated sufficiently, will change phases 
–Following softening SHRINKS
–GP by itself DOES NOT SEAL
–Must consider SEALERS
A

Gutta Percha:

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3
Q

Is a little sealer ok in PA tissues?

A

Yes

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4
Q

GP positioned _______ of

the canal exit

A

1 mm. short

@ WL

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5
Q

What are the 2 obturation techniques?

A

Cold lateral compaction of GP

Hydraulic Obt Technique

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6
Q

Does the patient need to be assympomatic or symptomatic before we are ready to obturate?

A

Assymptomatic

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7
Q

Can you obturate a wet root canal?

A

No

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8
Q

IF there are any symptoms, we will or will not obturate?

A

WILL NOT

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9
Q

What size taper is the GP?

A

.02 taper

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10
Q

Make sure the _____ on the
GP cone goes EXACTLY to your
reference point

A

“mark” dont by pliers

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11
Q

If the master GP cone is too _____, the GP will wrinkle toward the end of the root

A

Small

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12
Q

MC should not extend past ______

A

working length

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13
Q
  • MC must NOT be able to be pushed beyond WL. (Tap on it to check)
    If the MC is NOT TIGHT at WL or pushes longer;
A

GET A BIGGER MASTER CONE

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14
Q

______ are used to compact the MC gutta percha in the canal
to create space for more Gutta Percha accessory cones to accomplish a
dense fill and thin film of Sealer on the canal.

A

Finger Spreaders

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15
Q

What size Gp cone is used with red finger spreader?

A

.20 GP cone (yellow)

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16
Q

What size Gp cone is used with blue finger spreader?

A

.25 Gp cone (red)

17
Q

Take a Confirmation “Tree” Film ____ searing

off GP

18
Q

we have a DIMENTIONALLY STABLE
SEALER
which allows
a more efficient technique.

19
Q

What size GP cone will be used for hydraulic obturation?

A

.04 GP cone

20
Q
“Single Cone” is easily 
customized if you have 
additional space that 
needs filling or if 
further compaction of 
the fill is necessary, 
simply by \_\_\_\_\_ in 
additional 25/02 cones 
as necessary without 
the need of spreading.
21
Q

Where do you place the tip to extrude sealer into canal?

A

2-3 mm short of WL

22
Q

If you have an open apex, do you used CLC-Gp or hydraulic obturation?

A

Lateral compaction

23
Q

When is the “tree” x ray taken?

A

After GP is placed before it is seared

24
Q

Where should the GP be seared and compacted?

A

Below level of CEJ

25
_____ and _____ REQUIRE CROWNS in all | cases to prevent VRF
Premolars and Molars
26
_____ teeth with minimal loss of tooth structure may need only a composite restoration to restore RCT access.
Anterior teeth
27
Obturate when the canal is __ and patient has | remained _______
dry; asymptomatic
28
Lateral compaction uses standardized .___ GP cones and needs finger spreaders (COMPACTION). ______ is needed
.02 GP; Tug-back
29
Hydraulic obturation technique uses an ___ GP cone | and BC sealer, tug-back is or is not needed?
.04; is not
30
Sear GP ______, clean the pulp chamber | and seal the canal with GI
below the CEJ
31
• Round peg in irregular hole • Corrodes when sealer washes out (silver oxide) • May stain both tooth & gingiva (Amalgam or silver Tattoo) -NOT ACCEPTABLE
SIlver points
32
``` • N-2 (Sargenti Technique) • Potential for great damage • Proven Carcinogen • Legal Precedent (Liability) – Any “conventional” paste only obturation is doomed •Paste alone will shrink dissolve & leak ```
– Paraformaldehyde-containing pastes
33
The #1 cause of RCT failure following successful Treatment is ________
Leakage of Coronal | restoration.
34
GP is composed primarily of _______
Zinc oxide