Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

5th yr- Finals- CCD1 revision > Pulp treatment in primary teeth > Flashcards

Pulp treatment in primary teeth Flashcards

1
Q

Describe primary molars

A
  1. Large pulp chambers
  2. large pulp horns
  3. Wide dentinal tubules
  4. Porous pulp floor with accessory canals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The fact that piracy molars have large pulp chambers means what

A

Pulpal involvement can occur more easily when a tooth gets caries

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

What happens before a carious lesion reaches the pulp in a primary molar

A

Marginal ridge breakdown leading to pulpal inflammation

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

Is pulpal inflammation reversible

A

It is but can quick become irreversible if the tooth isnt treated appropriately

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

Why do we restore some primary teeth

A
  1. Alleviate tooth ache
  2. Abscesses
  3. Early tooth loss can lead to future orthodontic problems
  4. To avoid damage to the permanent successor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How can carious or infected teeth damage the permanent successor

A

Local hypoplasia can arise duet o chronic infection of a primary tooth
2. This can lead to ‘turner’ tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List some factors that influence our decision to carry out pulpal treatment rather than extract a tooth

A
  1. Quality of tooth
  2. Presence of successor
  3. Age of patient
  4. Behaviour
  5. Presence of infection
  6. Medical hisotry
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

List some contraindication that may arise in a Childs medical history that may prompt us to extract rather than restore

A
  1. Patients with cardiac disease are at an increased risk of infective endocarditis
  2. Immunocompromised children
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

list some dental factors that indicate tooth retention over extraction

A
  1. Minimal number of carious primary teeth (less than 3)
  2. Hypodontia of permanent dentition
  3. Where prevention of espial migration of the 6s is desirable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List some dental factors that indicate tooth extraction over retention

A
  1. Tooth is unrestorable after pulp therapy
  2. Extensive internal root resorption
  3. Large number of carious teeth with pulpal involvement
  4. Tooth is close to exfoliation
  5. Contra lateral tooth is already lost
  6. Extensive pathology or acute facial swelling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Give examples of treatment options we can use to restore teeth

A
  1. Indirect pulp therapy
  2. Pulpectomy
  3. Pulpotomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens to the pulp at eth end of indirect pulp therapy

A

Tooth is vital and pulp has not been removed

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

What happens to the pulp at the end of a Pulpotomy

A

Tooth is vita and some of the pulp has been removed

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

What happens to the pulp at the end of a pulpectomy

A

Tooth is non vital and pulp has been removed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do we deiced which pulpal tratmetn to carry out

A

Dependent on pulpal status

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

What is a contra indication in inflamed primary teeth

A

Pulp capping

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

What is the aim of indirect pulp therapy

A
  1. To arrest the carious process and provide condition conducive to the formation of reactionary dentine an demineralisation of remaining carious dentine
  2. To promote pulpal healing and preserve/ maintain the vitality of pulp tissue
18
Q

Give some indications for indirect pulp therpay

A
  1. Tooth with deep carious lesion
  2. No signs and symptoms indicating pulpal pathology
19
Q

How successful is indirect pulp therapy

A

90% clinical success at 3 year follow up

20
Q

What do we do in indirect pulp therpay

A
  1. Clear margins to create a coronal seal
  2. Remove soft dentine
  3. Leave hard discoloured dentine
21
Q

What is the aim of a pulpotomy

A

To remove the coronal pulp which has been clinically diagnosed as irreversibly inflamed
this leaved begins a possible healthy or reversibly inflamed radicular pulp

22
Q

Give some indications of a pulpotomy

A
  1. Asymptomatic tooth or only transient pain
  2. A carious or mechanical exposure of vital coronal pulp
  3. No mobility
  4. No sinus/ abscess
  5. No history of swelling
  6. No intra radicular radiolucency on radiograph
  7. Bleeding pulp that stops with pressure
23
Q

How sucessful are pulpotomys

A

90% success

24
Q

Give some s signs a pulp may be non vital

A
  1. Mobile
  2. Presence of abscess/ sinus
  3. History of swelling
  4. Intra radicular radiolucency on a radiograph
  5. Spontaneous pain that doesn’t resolve quickly
  6. Necrotic pulp
  7. Furcation pathology
25
Q

Give examples of pulp medication we can use when carrying out a pulpotomy

A

1, Ferric sulphate
2. MTA
3. Calcium hydroxide
4. Electrosurgery
5. Laser treatment
6. Ledermix
7. Formocresol

26
Q

How strong is the ferric sulphate we use for a pulpotomy

A

15.5%

27
Q

What does ferric sulphate do

A

It promotes pulpal haemostasis

28
Q

What is the succes rate for ferric sulphate

A

90%

29
Q

Name an alternative to ferric sulphate we may use on clinic

A

MTA

30
Q

What is MTA

A

Mineral trioxide aggregate

31
Q

What does MTA doe

A

It releases cytokines from fibroblasts
these cytokines stimulate tissue formation

32
Q

What is the main disadvantage for using MTA

A

Expensive

33
Q

1What can we use to remove the coronal pulp in a pulpotomy

A
  1. Round burr
  2. sHARP excavator
34
Q

How do we control the haemorrhage during a pulpotomy

A

Cotton roll socked in saline

35
Q

When is pulp capping contra indicated

A

In inflamed primary teeth

36
Q

After placing ferric sulphate what do we do

A
  1. DONT wash pulp chamber
  2. Restore with zinc oxide eugenol cement
  3. Pack well
  4. Place stainless steel crown
37
Q

What is the aim of a pulpectomy

A
  1. To remove irreversibly inflamed or necrotic radicular pulp tissue and gently clean the root canal system
  2. To obturate the root caries with a filling material that will resorb the same rate as the primary tooth
38
Q

List the indications for a pulpectomy

A
  1. Tooth diagnosed as having irreversible pulpits
  2. Non vital radicular pulp with/ without associated infections
  3. Good patient compliance
39
Q

How successful are pulpectomy

A

80% clinical success at 3 years

40
Q

What are we aiming to do in a pulpectomy

A
  1. Gain access to root canals
  2. Remove as much infected material as possible
  3. Fill canals with suitable material

5th yr- Finals- CCD1 revision (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions