問題一覧
1
How many ROOTS does a maxillary first molar usually have
Three
2
58% of the time, the MB root of the maxillary first molar has how many canals?
Two
3
How many canals does a maxillary first premolar usually have?
Two
4
How many ROOTS does a mandibular molar usually have?
Two
5
How many canals does a mandibular molar usually have
Three
6
Endodontic treatment of a mandibular central incisor is challenging because the most common variation is having two canals.
True
7
Endodontic access on mandibular incisors is the most challenging among all teeth because the mandibular incisors are very narrow mesio-distally and, therefore, it is easy to perforate.
True
8
Endodontic files, gutta percha and sized paper points are color coded. What color is a size 10 file?
Purple
9
What color is a size 35 endodontic file?
Green
10
What color is a size 70 endodontic file?
Green
11
What color is a size 25 endodontic file?
Red
12
Estimated WLis 22 mm. To determine the true WL, inserted in the canal a size 15 endodontic file to 22 mm and then took a radiograph (x-ray). The size 15 at 22 mm is out of the canal by about 1 mm.. What should I do next?
Get a bigger file, like a size 20, and insert only up to 21 mm and take a radiograph
13
In determining the WL, the size of the file is as important as the length. The initial apical file should be a tiny bit tight in the canal.
True
14
The length of the Master Apical File, MAF, is:
The same length as the WL of the IAF
15
In determining the WL, I first tried a size 25 file but it was too tight in the canal, and short by more than 3 mm, as seen on the radiograph. What should I do next?
Get a smaller file, find the one that will go to WL with a little bit of tightness, and then take a radiograph
16
The size of the MAF is usually three sizes bigger than the initial file. However, this is not a hard and fast rule because the pre-op size of the canal and the thickness of the root are the two more important determinants of the size of the MAF.
True
17
Signs and symptoms of irreversible pulpitis include the following EXCEPT:
Mild discomfort to cold that dissipates as soon as the cold stimulus is removed
18
Signs and symptoms of a necrotic pulp can include the following EXCEPT:
None of the above
19
It is important to determine the periodontal status of a tooth PRIOR to starting endodontic treatment because
All of the above
20
The anatomic landmark that could be mistaken as apical pathology in a radiograph of a mandibular bicuspid:
Mental foramen
21
Material used in tracing a sinus tract:
Gutta percha
22
In instrumenting curved canals, all endodontic files have to be pre-curved before inserting in the canal.
True
23
The WL is 19 mm and the initial apical file is size 15. Using the rule of thumb that the MAF is 3 sizes bigger than the initial file, write below the size and length of the MAF
30 @ 19 mm
24
The MAF is size 40 with a WL of 22 mm. Write below the sizes and lengths of the three step back files. Do not include recapitulation
55 @ 19 mm
25
Signs and symptoms of acute apical periodontitis EXCEPT:
None of the above
26
An acute alveolar abscess is a dental emergency. Emergency treatment consists of the following EXCEPT:
None of the above
27
Acute maxillary sinusitis can mimic tooth pain in the maxillary posterior quadrant.
True
28
When is the best time to treat a pregnant patient?
Second Trimester
29
This medical condition can mimic odontogenic pain.
All of the above
30
Radiation therapy to the head and neck can result in;
All of the above
31
Precaution(s) to take if the patient is hypertensive:
All of the above
32
Precaution(s) to take if the patient is an insulin-dependent diabetic:
All of the above
33
If a patient has ulcers, should you avoid prescribing aspirin?
Yes
34
In alcoholics, avoid prescribing sedatives and aspirin.
True
35
What is the first antibiotic of choice for patients with swelling of endodontic origin?
Amoxicillin
36
Pain in reversible pulpitis is immediate, momentary and quickly dissipates upon removal of the stimulus.
True
37
Pain in IRREVERSIBLE pulpitis could be spontaneous or delayed upon application of the stimulus, and persists for minutes to hours after removal of the stimulus
True
38
The periodontal ligament space may appear normal or widened in irreversible pulpitis.
True
39
How does a tooth with irreversible pulpitis respond to percussion:
Both of the above are true
40
Before even picking up a bur to prepare the endodontic access, what should you do?
Both of the above are true
41
Employs the tip of the index finger or a cotton tip, with light pressure, to examine tissue consistency and pain response.
Palpation
42
This test enables the dentist to evaluate the status of the periapical tissues by a slight tap on the tooth with the handle of a mouth mirror.
Percussion
43
Teeth undergoing rapid orthodontic movement can be sensitive to percussion.
True
44
This test consists of moving the tooth bucco-lingually using the handles of 2 instruments.
Test for mobility
45
A narrow, isolated probing defect could signify:
Any of the above
46
A painful response to the heat test compared to other teeth in the same mouth indicates pulpal and/or periapical disease requiring endodontic treatment.
True
47
Assuming all teeth are present, what is the ideal sequence for testing for cold?
First: Tooth mesial to suspect tooth. Second: Tooth distal to suspect tooth. Third: Contralateral tooth. Fourth: Suspect tooth.
48
What is the diagnosis if the cold test response is immediate discomfort, lasts only a few seconds and dissipates upon removal of the cold stimulus?
Vital pulp/reversible pulpitis
49
What is the diagnosis if the cold test response is immediate severe pain lasting several minutes to hours after removal of the cold stimulus?
Irreversible pulpitis
50
What is the diagnosis if the patient feels nothing upon application of the cold stimulus but other teeth tested responds with momentary discomfort to the cold stimulus?
Non-vital pulp/necrotic pulp
51
A radiograph is a 2-dimensional representation of a 3-dimensional object. Therefore, it gives the clinician plenty of information but not a complete "picture" of the tooth.
True
52
This test shines a bright light on the on the buccal of the tooth while the room is dark to detect crack lines.
Transillumination
53
Factors to consider in case selection are:
All of the above
54
Intracanal pressure in irreversible pulpitis or necrotic cases causes pain. Therefore, when a patient presents with pain, it is imperative to relieve the pressure. The ways to relieve intracanal pressure are the following, except:
incision on the soft tissues
55
Is it extremely important to take the tooth out of occlusion when the patient says the tooth feels elevated/painful when he/she closes her mouth?
Yes
56
Although some medical conditions can influence endodontic treatment, most medical conditions do not contraindicate endodontic treatment.
True
57
In a dental emergency arises during the first trimester of pregnancy, what should you do:
Consult with the OB-GYN to discuss treatment
58
Factors to consider in patients with cancer:
All of the above
59
What is the occupational risk when treating a patient with HIV:
Very Low
60
A dialysis patient is best treated the day after herodialysis because of:
Bleeding Tendencies
61
Well-controlled diabetics are good candidates for endodontic treatment.
True
62
It is alright to prescribe opioids to patients taking anti-depressants.
Consult with the patient's physician
63
Periodontal probing is essential prior to endodontic treatment.
True
64
Should you think about restoration of the tooth before endodontic treatment?
Yes, need to visualize the end goal before starting treatment
65
Factors affecting the decision to endodontically treat a tooth:
All of the above
66
What is the primary reason for endodontic surgery
To improve the apical seal
67
Non-vital teeth with peri-radicular abscess should be done in one visit.
False
68
Every root canal system has spaces that cannot be cleaned mechanically.
True
69
The only way to clean webs, fins and canal anastomoses is:
By placing an intracanal medicament Through the effective use of irrigants
70
Encircle one that is not a goal of irrigation
Enlarge the canal
71
Do you have to irrigate frequently?
Yes
72
Does exposure time of the dentin to NaOCI affect the efficacy of the NaOcI?
Yes
73
In a sodium hypochlorite accident, is there immediate pain?
Yes
74
How do you prevent a hypochlorite accident?
All of the above
75
What is the concentration of EDTA used in endodontics?
17%
76
Does EDTA have anti-microbial properties?
No
77
Why do we use EDTA in endodontics?
All of the above
78
Is EDTA effective as the sole irrigant during instrumentation?
No
79
What is the most important irrigant during instrumentation?
Sodium Hypochlorite
80
Is it advisable to mix irrigants?
No
81
Repeated cycling of sodium hypochlorite and EDTA should be avoided because:
This cycling will erode the dentin and compromise tooth structure
82
The smear layer should be removed at the end of instrumentation.
True
83
Chelating agents can remove smear layer. Is EDTA a chelating agent?
Yes
84
All syringes for endodontic irrigation must have a Luer-lock design.
True
85
What obturation technique did we do in the lab?
Cold lateral compaction
86
Should you obturate the canal when there is no more pain but the canal is still weeping?
No
87
Disadvantage of gutta percha
All of the above
88
Gutta percha without a sealer will not seal.
True
89
What is the main purpose of the root canal sealer?
To fill canal irregularities and minor discrepancies between root canal walls and core filling material
90
Do you want the sealer to fill accessory canals?
Yes
91
Can the sealer act as lubricant during insertion of the master cone?
Yes
92
MAF is size 40, length 22 mm. I tried on a size 40 cone. The cone fit radiograph showed the cone is outside the apex by about 1 mm. What should I do?
Try on a size 45 cone and if it goes to 22 mm with tugback, take a radiograph
93
Schilder's Mechanical Objectives during cleaning and shaping root canals are the following except:
Cross section should WIDEN at every point going apically
94
Is establishing the glide path the same as determining canal patency?
Yes
95
What is the concept of enlarging the coronal third of the root canal prior to working length determination?
Coronal pre-enlargement
96
Involves filing away from the inner curve of a root to reduce the risk of strip perforation
Anti-curvature filing
97
Should endodontic files be checked for deformation and discarded if strain is present?
Yes
98
What is the spread of infection diffusely into fascial planes of soft tissues
Cellulitis
99
Is condensing osteitis usually painful?
No
100
The cervical area is the most commonly involved area in external root resorption
True