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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