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79 Cards in this Set
- Front
- Back
instrument used for canal enlargement |
Reamer
|
|
strongest of all instruments and cut least aggressively, most useful instruments for removing hard tissue |
K file
|
|
most apical end of root (also known as radiographic apex)
|
Anatomic apex
|
|
rarely coincides w/ anatomic apex and usually about 0.5mm short of it
|
Apical foramen
|
|
located about 0.5mm from apical foramen; is a natural stop in RCT and is detected by apex locator
|
Apical constriction
|
|
-all have distal axial inclination, so bur should be angled slightly to distal when accessing to prevent mesial perforation
|
maxillary anteriors
|
|
most likely to have 2 canals, w/ 60% having 2 roots; other 40% have one root w/ 2 separate canals; easily perforated on mesial due to concavity on mesial side of crown
|
Maxillary First Premolar
|
|
access of mandibular molars
|
trapezoid
|
|
access of max molars
|
triangular
|
|
# of canals in mand 1st molar
|
2 roots, 3 canals (2 M, 1D)
|
|
# of canals in Canine
|
1 root, 1 canal (100%)
|
|
# of canals 1st premolar
|
2 roots, 2 canals (75%)
|
|
# of canals 2nd premolar
|
1 root, 1 canal (75%)
|
|
# of canals 1st molar
|
most often 3 roots, 4 canals (2 in MB root) (60%)
|
|
reported as most critical step to RCT success
|
obturation
|
|
# 1 cause of endo failure
|
inadequate seal- coronal seal (coronal leakange) more imp than apical seal |
|
instrument used for canal enlargement
|
Reamer
|
|
strongest of all instruments and cut least aggressively, most useful instruments for removing hard tissue
|
K file
|
|
most apical end of root (also known as radiographic apex)
|
Anatomic apex
|
|
rarely coincides w/ anatomic apex and usually about 0.5mm short of it
|
Apical foramen
|
|
located about 0.5mm from apical foramen; is a natural stop in RCT and is detected by apex locator
|
Apical constriction
|
|
-all have distal axial inclination, so bur should be angled slightly to distal when accessing to prevent mesial perforation
|
maxillary anteriors
|
|
most likely to have 2 canals, w/ 60% having 2 roots; other 40% have one root w/ 2 separate canals; easily perforated on mesial due to concavity on mesial side of crown
|
Maxillary First Premolar
|
|
access of mandibular molars
|
trapezoid
|
|
access of max molars
|
triangular
|
|
# of canals in mand 1st molar
|
2 roots, 3 canals (2 M, 1D)
|
|
# of canals in Canine
|
1 root, 1 canal (100%)
|
|
# of canals 1st premolar
|
2 roots, 2 canals (75%)
|
|
# of canals 2nd premolar
|
1 root, 1 canal (75%)
|
|
# of canals 1st molar
|
most often 3 roots, 4 canals (2 in MB root) (60%)
|
|
reported as most critical step to RCT success
|
obturation
|
|
# 1 cause of endo failure
|
inadequate seal- coronal seal (coronal leakange) more imp than apical seal
|
|
place mix of sodium perborate and water in chamber and return in 2-6 wks; several repetitions performed
|
walking bleach technique
|
|
place oxidizing agent (30% H2O2/Superoxol) into pulp chamber and apply heat (2mm cement barrier needed when Superoxol used);complications, cervical resorption as bleach/heat damage cementum and PDL
|
thermocatalyitc bleaching
|
|
has ph of 12.5 which cauterizes tissue and causes superficial necrosis, which encourages pulp to induce production of reparative dentin
|
Calcium hydroxide
|
|
radioopaque, hyrdophilllic, non toxic, induces hard tissue formation, long setting time, hard to maniupulate
|
MTA |
|
surgical removal of small portion of coronal pulp tissue to preserve remaining coronal and radicular pulp tissue; indicated in teeth where inflammation less than 2mm into pulp chamber and not into root orifices, traumatic exposures less than 24 hrs, or immature permt. teeth, good prognosis, depending on adequate removal of inflamed pulp, disinfection of dentin/pulp, avoidance of clot formation, and good seal on restoration
|
Cvek Pulpotomy |
|
instrument used for canal enlargement
|
Reamer
|
|
strongest of all instruments and cut least aggressively, most useful instruments for removing hard tissue
|
K file
|
|
most apical end of root (also known as radiographic apex)
|
Anatomic apex
|
|
rarely coincides w/ anatomic apex and usually about 0.5mm short of it
|
Apical foramen
|
|
located about 0.5mm from apical foramen; is a natural stop in RCT and is detected by apex locator
|
Apical constriction
|
|
-all have distal axial inclination, so bur should be angled slightly to distal when accessing to prevent mesial perforation
|
maxillary anteriors
|
|
most likely to have 2 canals, w/ 60% having 2 roots; other 40% have one root w/ 2 separate canals; easily perforated on mesial due to concavity on mesial side of crown
|
Maxillary First Premolar
|
|
access of mandibular molars
|
trapezoid |
|
access of max molars
|
triangular
|
|
# of canals in mand 1st molar
|
2 roots, 3 canals (2 M, 1D)
|
|
# of canals in Canine
|
1 root, 1 canal (100%)
|
|
# of canals 1st premolar
|
2 roots, 2 canals (75%)
|
|
# of canals 2nd premolar
|
1 root, 1 canal (75%)
|
|
# of canals 1st molar
|
most often 3 roots, 4 canals (2 in MB root) (60%)
|
|
reported as most critical step to RCT success
|
obturation
|
|
# 1 cause of endo failure
|
inadequate seal- coronal seal (coronal leakange) more imp than apical seal
|
|
place mix of sodium perborate and water in chamber and return in 2-6 wks; several repetitions performed
|
walking bleach technique
|
|
place oxidizing agent (30% H2O2/Superoxol) into pulp chamber and apply heat (2mm cement barrier needed when Superoxol used);complications, cervical resorption as bleach/heat damage cementum and PDL
|
thermocatalyitc bleaching
|
|
has ph of 12.5 which cauterizes tissue and causes superficial necrosis, which encourages pulp to induce production of reparative dentin
|
Calcium hydroxide
|
|
radioopaque, hyrdophilllic, non toxic, induces hard tissue formation, long setting time, hard to maniupulate
|
MTA
|
|
surgical removal of small portion of coronal pulp tissue to preserve remaining coronal and radicular pulp tissue; indicated in teeth where inflammation less than 2mm into pulp chamber and not into root orifices, traumatic exposures less than 24 hrs, or immature permt. teeth, good prognosis, depending on adequate removal of inflamed pulp, disinfection of dentin/pulp, avoidance of clot formation, and good seal on restoration |
Cvek Pulpotomy
|
|
instrument used for canal enlargement |
Reamer
|
|
strongest of all instruments and cut least aggressively, most useful instruments for removing hard tissue
|
K file
|
|
most apical end of root (also known as radiographic apex)
|
Anatomic apex
|
|
rarely coincides w/ anatomic apex and usually about 0.5mm short of it
|
Apical foramen
|
|
located about 0.5mm from apical foramen; is a natural stop in RCT and is detected by apex locator
|
Apical constriction
|
|
-all have distal axial inclination, so bur should be angled slightly to distal when accessing to prevent mesial perforation
|
maxillary anteriors
|
|
most likely to have 2 canals, w/ 60% having 2 roots; other 40% have one root w/ 2 separate canals; easily perforated on mesial due to concavity on mesial side of crown
|
Maxillary First Premolar
|
|
access of mandibular molars
|
trapezoid
|
|
access of max molars
|
triangular
|
|
# of canals in mand 1st molar
|
2 roots, 3 canals (2 M, 1D)
|
|
# of canals in Canine
|
1 root, 1 canal (100%)
|
|
# of canals 1st premolar
|
2 roots, 2 canals (75%)
|
|
# of canals 2nd premolar
|
1 root, 1 canal (75%)
|
|
# of canals 1st molar
|
most often 3 roots, 4 canals (2 in MB root) (60%)
|
|
reported as most critical step to RCT success
|
obturation
|
|
# 1 cause of endo failure
|
inadequate seal- coronal seal (coronal leakange) more imp than apical seal
|
|
place mix of sodium perborate and water in chamber and return in 2-6 wks; several repetitions performed
|
walking bleach technique
|
|
place oxidizing agent (30% H2O2/Superoxol) into pulp chamber and apply heat (2mm cement barrier needed when Superoxol used);complications, cervical resorption as bleach/heat damage cementum and PDL
|
thermocatalyitc bleaching
|
|
has ph of 12.5 which cauterizes tissue and causes superficial necrosis, which encourages pulp to induce production of reparative dentin
|
Calcium hydroxide
|
|
radioopaque, hyrdophilllic, non toxic, induces hard tissue formation, long setting time, hard to maniupulate
|
MTA
|
|
surgical removal of small portion of coronal pulp tissue to preserve remaining coronal and radicular pulp tissue; indicated in teeth where inflammation less than 2mm into pulp chamber and not into root orifices, traumatic exposures less than 24 hrs, or immature permt. teeth, good prognosis, depending on adequate removal of inflamed pulp, disinfection of dentin/pulp, avoidance of clot formation, and good seal on restoration
|
Cvek Pulpotomy
|