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36 Cards in this Set
- Front
- Back
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What is the primary determinant for successful endodontic treatment?
a. selecting the proper obturation technique b. effective elimination of microorganisms from the pulp space c. using rotary instruments to shape the canals d. using an effective irrigation regimen |
Effective elimination of microorganisms from the pulp space
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What are the major indicators of successful endodontic treatment?
2. a. lack of discoloration, no tenderness to biting b. no swelling or redness of the gingival area c. absence of symptoms and apical radiolucency d. a happy patient who has paid the bill |
Absence of symptoms and apical radiolucency
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A patient presents for a post treatment examination with no complaint of symptoms except the apical radiolucency that was present before treatment, although it appears smaller. Treatment for this patient would be classified as which of the following?
3. a. a failure b. a success c. a clinical success but radiographic failure d. a functional tooth with uncertain prognosis |
A functional tooth with uncertain prognosis
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Which of the following is not a clinical criterion to evaluate treatment outcome?
4. a. absence of a radiolucency b. no evidence of a sinus tract c. no swelling present d. no response to percussion or palpation |
Absence of a radiolucency
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To make valid comparisons between radiographs to assess healing, which of the following describes how films should be made?
5. a. in a reproducible manner b. 6 months apart c. at different angles d. by the same person to ensure consistency |
In a reproducible manner
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Which of the following criteria is not considered to be a predictor of success or failure?
6. a. the patient's medical history b. apical pathosis c. quality of the coronal restoration d. extent and quality of obturation |
The patient's medical history
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The most common preoperative cause of endodontic treatment failure includes all of the following except which one?
7. a. misdiagnosis b. leaking coronal restoration c. poor case selection d. error in treatment planning |
Leaking coronal restoration
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The most common postoperative cause of endodontic treatment failure is which of the following?
8. a. overextension of obturating material b. a separated instrument c. coronal leakage d. placement of a post unnecessarily |
Coronal leakage
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The prognosis for nonsurgical retreatment depends primarily on which of the following?
9. a. identification and correction of the cause of failure b. using a different obturation technique c. placing the definitive restoration at the obturation appointment d. all of the above |
Identification and correction of the cause of failure
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A painful response obtained by pressing or by tapping on the crown indicates the presence of which of the following?
Periapical inflammation Pulpal inflammation |
Periapical inflammation
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What is palpation testing used to determine?
Pulpal inflammation a. Periapical inflammation b. Periodontal inflammation c. Periapical histology |
Periapical inflammation
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How does electrical pulp testing determine the degree of pulpal inflammation?
A shorter response indicates a healthier pulp a. A midrange response indicates pulp inflammation b. A midrange response indicates partial necrosis c. It can only be used to determine the presence or absence of vital tissue |
Only used to determine presence or absence of vital tissue
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Using the case difficulty assessment system developed by the AAE, cases in which any factors score 3 should be:
Treated by a general dentist a. Treated by an endodontist |
Treated by an endodontist
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What is the diagnosis of a tooth lingering pain to cold?
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Irreversible pulpitis
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What is the diagnosis of a tooth with percussion sensitivity?
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Acute apical periodontitis
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What is the diagnosis of a tooth with palpation sensitivity?
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Acute apical periodontitis
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What is the diagnosis of a tooth with a draining sinus tract?
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Chronic apical abscess
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What is the diagnosis of a tooth with draining through the sulcus?
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Chronic apical abscess
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What is the diagnosis of a tooth with large radiolucency and symptomatic to percussion (new and old terminology)?
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Chronic apical periodontitis w/symptoms
Symptomatic apical periodontitis |
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What is the diagnosis of a tooth with large radiolucency and asymptomatic to percussion (new and old terminology)?
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Chronic apical periodontitis
Asymptomatic apical periodontitis |
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What is the diagnosis of a tooth with widened PDL or no RL but symptomatic (old and new terminology)?
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Acute apical periodontitis
Symptomatic apical periodontitis |
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What is the diagnosis of a tooth with a large abscess/swelling?
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Acute apical abscess
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What is the diagnosis of a tooth with a large abscess/swelling?
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1. Why is age a "good news/bad news" situation with dental trauma?
a. Pulps have an incomplete and decreased blood supply. b. Pulps are better able to recover and have a better repair potential. c. Poor development will continue in teeth with damaged necrotic pulps. d. Dentin has more strength in younger teeth. |
Pulps are better able to recover and have better repair potential
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Which of the following factors does not need to be considered when evaluating a crown fracture with pulp exposure?
a. extent of fracture b. stage of root development c. position in the arch d. length of time since the injury |
Position in the arch
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Which of the following is not a step as part of the technique for a shallow (partial) pulpotomy?
a. rubber dam isolation b. pulp tissue removed to about 2 mm below the exposure c. use of a large round carbide bur in the slow-speed handpiece to remove tissue d. restoration of the cavity with a hard-setting cement |
Use of a large round carbide bur in the slow-speed handpiece to remove tissue
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How long should horizontal root fractures be splinted if the coronal section was displaced and repositioned?
a. not indicated b. 7 to 10 days c. 4 to 6 weeks d. 3 months |
4-6 weeks
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Which of the following are types of luxation injuries?
a. concussion b. intrusion c. extrusion d. all of the above |
All of the above
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What information does the color change of the clinical crown provide?
a. There has been a pulp exposure. b. The initial change is gray in color, which always indicates pulp necrosis. c. Discoloration may be reversed without treatment. d. Calcific metamorphosis discoloration tends to be yellow to brown and always indicates pulp necrosis. |
Discoloration may be reversed without treatment
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What factor should be considered that determines the treatment of an intrusive luxation injury?
a. depth of intrusion b. stage of root development c. availability of adjacent teeth for stabilization d. amount of soft tissue injury |
Stage of root development
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Of the following, what is the best transport medium to use for transporting an avulsed tooth?
a. saliva b. distilled water c. wrapped in a tissue d. milk |
Milk
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Which type of medication is indicated for patients with avulsed teeth?
a. narcotic analgesic b. steroid c. tetanus booster if more than 5 years since last administered d. all of the above |
Tetanus booster if more than 5 years since last administered
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What additional treatment should be used on the root surface if an avulsed tooth is replanted after more than 1 hour after avulsion?
a. thorough scrubbing with antimicrobial soap for disinfection b. scaling of the root surface c. soaking the tooth in 2.4% doxycycline for 5 to 20 minutes d. soaking the tooth in a 2.4% solution of sodium fluoride for 5 to 20 minutes |
Soaking the tooth in a 2.4% solution of sodium fluoride for 5-20 minutes
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What additional treatment should be used on the root surface if an avulsed tooth is replanted after more than 1 hour after avulsion?
a. thorough scrubbing with antimicrobial soap for disinfection b. scaling of the root surface c. soaking the tooth in 2.4% doxycycline for 5 to 20 minutes d. soaking the tooth in a 2.4% solution of sodium fluoride for 5 to 20 minutes |
Refractory
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When is root canal treatment indicated in a mature avulsed, replanted tooth?
a. at the time of replantation b. within 7 to 10 days after replantation c. after 3 months if there is no response to pulp testing d. when periapical pathosis is noted |
Within 7-10 days after replantation
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When is root canal treatment indicated in a mature avulsed, replanted tooth?
a. at the time of replantation b. within 7 to 10 days after replantation c. after 3 months if there is no response to pulp testing d. when periapical pathosis is noted |
The intruded tooth appears elongated on the radiograph
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