Quiz 5 Flashcards
(21 cards)
Who are the ‘stakeholders’ in dentistry?
- Patients
- Insurance Companies
- Dentist
What is functional, asymptomatic teeth with no
or minimal periradicular pathosis? What is a nonfunctional, symptomatic teeth with or without periradicular pathosis? What are teeth with periradicular pathosis that are asymptomatic and functional, or teeth with or without periradicular pathosis that are
symptomatic but for which the intended function
is not altered? What is a treated tooth or root that is serving its intended purpose in the dentition?
- Healed
- Nonhealed
- Healing
- Functional
When should evaluation of endo be done? What is the long term success/survival rates of endo treatments?
- 6 months to 5 years
- Over 90%
What are the 4 factors that predict success/failure in endo treatment?
- Apical Pathosis: The presence of periradicular
lesions and larger lesion size. - Bacterial Status of Canal: Presence of
bacteria in canal prior to obturation (CaOH). - Extent and Quality of Obturation: Short, long,
voids, density. - Quality of Restoration: CORONAL SEAL
What is a ‘J’ shaped lesion of bone near a tooth usually signify?
- Fractured Tooth
85% of dental emergencies are a result of? 12% of population experienced what in the last 6 months?
- Pulpal/Periapical Disease
- Toothache
What has intense and prolonged pain (dull/throbbing) due to extreme temperatures, and the treatment is a pulpectomy (removal of most) or pulpotomy (removal of pulp chamber)? What is extremely percussion sensitive, and treatment is a complete pulpectomy? What are (4) extremely percussion sensitive, treatment is complete pulpectomy, establish drainage if possible and copious irrigation (CaOH after drying)?
- Irreversible Pulpitis: Normal Periapex
- Irreversible Pulpitis: SAP
- Necrotic Pulp: SAP (No Swelling)
- Necrotic Pulp (Swelling)
- Necrotic Pulp (Fluctuant Swelling-No Drainage)
- Necrotic Pulp (Diffuse Swelling with drainage)
- Necrotic Pulp (Diffuse Swelling -No Drainage)
What are the 4 types of patterns used for drainage (drains)?
- I, T, Christmas T, Pensrose
Crown fractures with pulp exposure will have necrosis in ____% of cases if left untreated. What can be used to treat this? *(Enamel fractures have 1-2% chance, Crown fractures without pulp exposure 1-7% chance)
- 100%
- Pulp caping (first 30 hours), partial pulpotomy, full pulpotomy or pulpectomy.
What are potential treatments for an exposed pulp?
- Pulpectomy (most predictable)
- Cvek Pulpotomy (shallow 2 mm - 80%???)
- MTA (high pH bacterial tight seal)
- CaOH
- ZOE/Glass ionomer seal
There are several types of luxation (dislodgment) injuries. Which has no displacement, no mobility, no treatment and is percussion sensitive? What has no displacement but is mobile and percussion sensitive, possible bleeding and no treatment? What has displacement coronally, is mobile, pulp test is non-vital, and treatment is reposition/splint 2-4/RCT later? What has displacement and treatment is reposition, splint for 2-4 weeks and TCT later? What is displacement apically, no mobility, may re-erupt spontaneously if immature apex, high incidence of ankylosis and use RCT? What is complete displacement from socket, requires immediate reimplantaion/splint and should be stored in a storage medium?
- Concussion Luxation
- Subluxation Luxation
- Extrusive Luxation
- Lateral Luxation
- Intrusive Luxation
- Avulsion Luxation
What is a vital pulp therapy to encourage continued physiologic development and formation of the root end, where the objective is maintain the pulp vitality?
- Apexogenisis
What is where pulp vitality is not attainable due to a calcific barrier induction across open apex with pulpal necrosis and no lesions?
- Apexification
What is a biologically based procedure designed to replace damaged structures (dentin, root structure and cells of the dentin-pulp matrix)? How is this done?
- Regendo
- 1. Debride, 2. Repeat if necessary, use antimicrobial, dry and 10/15 file.
What are the two main atomic pathways of communication between the dental pulp and the periradicular tissues?
- Apical Foramen
- Lateral/Furcation Canals
What is caused by Endo and causes perio problems (tooth to bone/perio)? What is Perio that causes problems with Endo (Bone/perio to endo)? What occurs both at the tooth and bone/perio?
- 1 Endo
- 1 Perio
- True Combination
What requires: Must be dated and signed on day of issue, Patient’s full name and address, DOB, Practitioner’s full name and address and DEA#, Drug name, Strength, Dosage form, Quantity prescribed, Directions for use, Number of refills (if any), Written in ink, indelible pencil, or typewritten, and Manually signed?
- Controlled Substance Prescription
What separates classes 1-5 controlled substances and what are examples?
- Class V: Safe, can be faxed in - Robitussin, Lyrica
- Class IV: Can be faxed in - Xanax, Ambien, Valium
- Class III: Can be faxed in - Codeine (Tylenol 3), Testosterone, Anabolic Steroids
- Class II: Written only, no time limit, refill prohibited - Oxycodone/Hydrocodone, Cocaine, Fentanyl.
- Class I: Highly abused substances and usually illegal - Heroin, marijuana, LSD.
What is a patient’s name, address, date and Rx (recipe) portion? What is the name of drug, dose form, and quantity? What is the directions to pharmacist? What are directions to patient?
- Superscription
- Inscription
- Subscription
- Transcription
NSAIDS, Narcotics/Opioids, and Steroids are all used for what? Penicillins? Benzodiazepines and muscle relaxants? Clindamycin, Augmentin and Amoxicillin? Valium and Soma?
- Pain
- Infection
- Fear/Anxiety
- Antibiotics
- Anxiolytics
Inadequate SLA, Inadequate irrigation or lubrication, Excessive enlargement of a curve with files, Packing debris in canal are all associate with what? How do you fix this?
- Causes of Ledge Formation
• Stop digging! • #8 or 10 k-file with bend to renegotiate canal • Short strokes with reaming action • Keep file apical to ledge.
