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10 Cards in this Set
- Front
- Back
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What causes the pulp to die or become diseased?
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Extensive Caries
Open dentinal tubules with long standing irritation of the pulp Trauma Cracks in teeth Periodontal or gum disease Effect of various chemical Excessive heat or cold stimuli |
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Why Not Simply Extract?
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Endodontic therapy is much less invasive than surgical extraction.
Standard root canal therapy is less traumatic and painful for the patient Esthetics is maintained Function of the tooth is resorted |
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Indications for root canal treatment?
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An irreversibly damaged or necrotic pulp
Elective devitalization |
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Contra-indications for root canal treatment
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1. Teeth that cannot be made functional nor restored
2. Teeth with insufficient periodontal support. 3. Teeth with poor prognosis, uncooperative patients or patients where dental treatment procedures cannot be undertaken. 4. Teeth of patients with poor oral condition that cannot be improved within a reasonable period |
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Indications for surgical endodontics?
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1. Apical periodontitis and/or symptoms associated with an obstructed canal
2. Extruded material 3. Persisting or emerging disease following root canal treatment 4. Perforation of the root or the floor of the pulp chamber and where it is impossible to treat from within the pulp cavity. |
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Contra-indications for surgical endodontics?
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1. Local anatomical factors such as an inaccessible root end.
2. Tooth with inadequate periodontal support. 3. Uncooperative patient. 4. Patient with a compromised medical history |
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Six Steps to Root Canal Therapy
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1. Dental radiograph
2. Pain and anxiety management 3. Root canal access 4. Disinfection and preparation 5. Obturation (filling) 6. Permanent restoration |
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Name a root canal sealer
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AH Plus
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Medicaments in root canal therapy?
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Calcium hydroxide
Ledermix paste Odontopaste |
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Ways to test vitality?
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Cold spray
Electric pulp tester Laser doppler flowmetry |
