ENDOPERIO

100問 • 2年前

問題一覧

non-surgical as well as conservative management of an endodontically associated tooth that consists of biomechanical preparation with obturation of the root canal system

SVE

safer and more commonly accepted method of root canal treatment

MVE

3-4 appointments to help reduce chances of error and infection

MVE

easier to locate and clean canals

SVE

anatomy is complex

MVE

periapical lesions above 5 mm in diameter

MVE

Teeth with sinus tracts

SVE

Cracked teeth

MVE

antibiotic cover, intravenous sedation, general anesthetic or is traveling a long distance

SVE

Parkinson’s disease, chronic back pain or when treating pediatric patients

MVE

TMJ problems, limited mouth opening

MVE

presence of fine, curved or calcified canals

MVE

Vital teeth

SVE

nonvital teeth

MVE

acute alveolar abscess

MVE

Factors to consider before deciding on single or multi-visit treatment include CASERTPR

CRACKED TEETH ANATOMY OF THE TOOTH BEING TREATED SKILL OF THE OPERATOR EXPERIENCE USING MODERN ENDODONTIC EQUIPMENT RADIOGRAPHIC SIZE OF THE PERIAPICAL LESION PATIENT FACTOR TEETH WITH SINS TRACT

Criteria of Case Selection for SVE (CAPAPAC)

COMPETENCE OF THE CLINICIAN ACCESSIBILITY POSITIVE PATIENT ACCEPTANCE ABSENCE OF CLINICAL INTERFERENCES PULP STATUS AVAILABILITY OF SUFFICIENT TIME CLINICAL SYMPTOMS

Access opening done using a __ and ___ till a “drop” is felt indicating that the pulp chamber is entered.

ROUND BUR TAPERED FISSURE BUR

done using finger files or rotary files with intermittent irrigation

CLEANING AND SHAPING

done frequently to remove and loosen debris and microorganisms and to ensure that the debris are not pushed out the apex

IRRIGATION

The most commonly used irrigants include: (5)

EDTA CHLORHEXIDINE SODIUM HYPOCHLORITE CITRIC ACID DISTILLED WATER

EDTA %

CHLORHEXIDINE %

0.2%

Sodium hypochlorite %

5.25

CITRIC ACID %

50%

Obturation is done using ___ compaction technique

VERTICAL AND LATERAL

post endodontic restoration is done using

GIC OR TEMPORARY RESTORATION

Tooth with acute symptoms

MVE

complex cases requiring significant time commitment.

MVE

Endodontic therapy following trauma.

MVE

Non vital teeth & acute inflammation.

MVE

chronic periapical lesions.

MVE

Root canals that cannot be dried due to persistent apical exudates.

MVE

The main difference between the two is

ROOM FOR ERROR

The most common core material worldwide

GUTTA PERCHA

% of total volume with the remainder mostly zinc oxide and proprietary additives-- GP

20%

Gutta-percha has ___ toxicity when compared with other components used in endodontic obturation and has withstood the test of time in clinical usage

LOW DEGREE

phenol derivative and a major component of the numerous formulations of sealers that incorporate this liquid into a zinc oxide powder for placement with a solid core obturation

EUGENOL

cytotoxic and invoke an inflammatory response in connective tissues

ZOE

sealers are relatively new to the market place and have been promoted for their ability to stimulate repair.

CALCIUM HYDROXIDE

calcium hydroxide reported this initial toxicity was due to the formation of a very small amount of ____ as a result of the chemical setting process.

FORMALDEHYDE

biologically based procedures designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp–dentin complex.

REGENERATIVE ENDODONTICS

Regenerative endodontics biologically based procedures designed to replace the ____

DAMAGED STRUCTURES DENTIN ROOT STRUCTURE PULP DENTIN COMPLEX

the restoration of the vascularity to a tissue or organ

REVASCULARIZATION

the restoration of tissue continuity without the loss of original architecture and function

REPAIR

described as an in-growth of vital tissue that does not resemble the original lost tissue

REVITALIZATION

normal maturation of the root in the radiograph

REGENAERATIVE PROCEDURE

induced apexification resulted in the formation of a calcific barrier at the apex

CALCIUM HYDROXIDE MTA

PRIMARY GOAL OF REGENERATIVE ENDO

ELIMINATION OF SYMPTOMS AND EVIDENCE OF BONY HEALING

SECONDARY GOAL OF RE

INCREASED ROOT WALL THICKNESS AND INCREASED ROOT LENGTH

TERTIARY GOAL OF RE

POSITIVE RESPONSE TO VITALITY TEST

undifferentiated cells that are capable of differentiating into various specialized cell types

STEM CELLS

stem cell–based therapies

REGENERATIVE ENDODONTICS

STEM CELLS CAN BE ___ and __ IN NATURE

PLURIPOTENT MULTIPOTENT

Stem cells are located in specialized regions within the tissues termed

STEM CELL NICHES

most commonly employed stem cells in regenerative endodontics (5)

STEM CELLS OF APICAL PAPILLA DENTAL PULP STEM CELL INFLAMED PERIAPICAL PROGENITOR CELLS PERIODONTAL LIGAMENT STEM CELLS BONE MARROW STEM CELLS

growth factor significant for tooth regeneration

BONE MORPHOGENETIC PROTEINS

These factors promote the differentiation of mesenchymal stem cells into odontoblast-like cells

BMP

three-dimensional structure that contains growth factors

SCAFFOLD

one of the most commonly used scaffolds in regenerative endodontic procedures

PLATELET-RICH FIBRIN

contains a large quantity of platelet and cytokines

FIBRIN MATRIX

helps in migration of fibroblasts and endothelial cells and is the source of growth factors that aid in revascularization

FIBRIN

A ____ remaining at the apical end of the root canal might proliferate into the newly formed matrix and differentiate into ondontoblast

FEW VITAL PULP CELLS

Continued root development could be due to ________, which are present abundantly in immature permanent teeth.

MULTIPOTENT DENTAL PULP STEM CELLS

can proliferate and grow into the apical end and within the root canal. They may deposit hard tissue both at the apical end and on the lateral root walls

STEM CELLS IN THE PERIDONTAL LIGAMENT

Instrumentation beyond the confines of the root canal to induce bleeding can also transplant mesenchymal stem cells from the bone into the canal lumen.

STEM CELLS OF THE APICAL PAPILLA

rich source of growth factors such as platelet-derived growth factor, vascular endothelial growth factor, platelet-derived epithelial growth factor, and tissue growth factor

BLOOD CLOT

The root canal systems are slowly irrigated first with : RE

1.5% NAOCL (20ML/CANAL FOR 5 MINS)

and then irrigated with : RE

SALINE (20ML/CANAL FOR 5MINS)

with an irrigating needle positioned about : RE

1MM FROM THE ROOT END

FINAL TX VISIT FOR REGENERATIVE TYPICALLY WEEKS

2-4

the intracanal medicament is removed by irrigating with

17% EDTA (30ML/CANAL FOR 5MINS)

FINAL FLUSH OF INTRACANAL MEDICAMENTS

SALINE (5ML/CANAL FOR 1MIN)

Bleeding is induced by rotating a : RE

K FILE SIZE 25 2MM PAST THE APICAL FORAMEN

BLEEDING GOAL OF RE

WHOLE CANAL FILLED WITH BLOOD LEVEL OF CEJ

combination of more than one antibiotic mixed into a consistency of a paste

ANTIBIOTIC PASTE

TRIPLE ANTIBIOTIC PASTE

CIPROFLOXACIN METRONIDAZOLE MINOCYCLINE IN A MACROGOL PROPYLENE GLYCOL VEHICLE

Modified triple antibiotic paste

CIPROFLOXACIN METRONIDAZOLE CEFACLOR

ouble antibiotic paste

CIPROFLOXACIN METRONIDAZOLE

WHEN EMPLOYING ANTIBIOTIC PASTE IT SHOULD REMAIN (LOCATION)

BEOW CEJ

WHY ANTIBIOTIC SHOULD REMAIN BELOW CEJ

MINIMIZE CROWN STAINING

CONCENTRATION OF ANTIBIOTIC PASTE

0.1 mg/ml

Increase in the width of root canal walls within

12-24 MONTHS

Discoloration due to use of ___ in triple antibiotic paste

MINOCYCLINE

two terms routinely used in dentistry to predict and assess the treatment of disease

PROGNOSIS OUTCOME

forecast about probable course and outcome of a disease and chances of recovery

PROGNOSIS

measure of the success of the treatment and a consequence of the decisions made during the course of treatment

OUTCOME

absence of an apical radiolucent lesion. This means that a lesion present at the time of treatment has resolved or if there was no lesion present at the time of treatment, none has developed

RADIOGRAPHIC SUCCESS

is the continued persistence or development of radiolucency. Specifically a radiolucent lesion has remained the same, enlarged or has developed since treatment.

RADIOGRAPHIC FAILURE

indicates a state of uncertainty. This classification includes teeth with radiolucency that are asymptomatic and functional.

RADIOGRAPHICALLY UNKNOWN STATUS

plays a key role in the outcomes of root canal treatment

QUALITY OF CORONAL RESTORATION

Preoperative periapical lesion - OUTCOME

POOR LONG STANDING ROOT CANAL INFECTION

Large lesion

LOWER FREQUENCY OF COMPLETE REGENERATION OF PERIAPICAL BONE

the ____ the lesion, the more favorable is the treatment prognosis.

SMALLER

one of the constitutive preoperative factors negatively affecting the success of the endodontic treatment of the teeth with apical periodontitis

DIABETES

could introduce necrotic tissue and bacteria in the root canal into periapical tissues

OVERINSTRUMENTATION

leave bacteria in the apical few millimeters of the root canal

UNDERINSTRUMENTATION

PRIMARY CAUSE OF ENDODONTIC PATHOLOGY

PERSISTENT PRESENCE OF BACTERIA

to detect the presence or absence of a periapical lesion

RADIOGRAPHIC EXAMINATION

100

to detect the presence or absence of symptoms/signs.

CLINICAL EXAMINATION

ENDOPERIOOOOOOOO

Rica Keydin Macapanas · 7問 · 2年前

ENDOPERIOOOOOOOO

7問 • 2年前

Rica Keydin Macapanas

ORTHOPED

Rica Keydin Macapanas · 100問 · 2年前

ORTHOPED

100問 • 2年前

Rica Keydin Macapanas

ORTHOPEDO MCQS

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ORTHOPEDO MCQS

100問 • 2年前

Rica Keydin Macapanas

RESTO FINALS

Rica Keydin Macapanas · 50問 · 2年前

RESTO FINALS

50問 • 2年前

Rica Keydin Macapanas

SURGERY 123111

Rica Keydin Macapanas · 85問 · 2年前

SURGERY 123111

85問 • 2年前

Rica Keydin Macapanas

COMDENT RESTO 1

Rica Keydin Macapanas · 100問 · 8ヶ月前

COMDENT RESTO 1

100問 • 8ヶ月前

Rica Keydin Macapanas

問題一覧

non-surgical as well as conservative management of an endodontically associated tooth that consists of biomechanical preparation with obturation of the root canal system

SVE

safer and more commonly accepted method of root canal treatment

MVE

3-4 appointments to help reduce chances of error and infection

MVE

easier to locate and clean canals

SVE

anatomy is complex

MVE

periapical lesions above 5 mm in diameter

MVE

Teeth with sinus tracts

SVE

Cracked teeth

MVE

antibiotic cover, intravenous sedation, general anesthetic or is traveling a long distance

SVE

Parkinson’s disease, chronic back pain or when treating pediatric patients

MVE

TMJ problems, limited mouth opening

MVE

presence of fine, curved or calcified canals

MVE

Vital teeth

SVE

nonvital teeth

MVE

acute alveolar abscess

MVE

Factors to consider before deciding on single or multi-visit treatment include CASERTPR

CRACKED TEETH ANATOMY OF THE TOOTH BEING TREATED SKILL OF THE OPERATOR EXPERIENCE USING MODERN ENDODONTIC EQUIPMENT RADIOGRAPHIC SIZE OF THE PERIAPICAL LESION PATIENT FACTOR TEETH WITH SINS TRACT

Criteria of Case Selection for SVE (CAPAPAC)

COMPETENCE OF THE CLINICIAN ACCESSIBILITY POSITIVE PATIENT ACCEPTANCE ABSENCE OF CLINICAL INTERFERENCES PULP STATUS AVAILABILITY OF SUFFICIENT TIME CLINICAL SYMPTOMS

Access opening done using a __ and ___ till a “drop” is felt indicating that the pulp chamber is entered.

ROUND BUR TAPERED FISSURE BUR

done using finger files or rotary files with intermittent irrigation

CLEANING AND SHAPING

done frequently to remove and loosen debris and microorganisms and to ensure that the debris are not pushed out the apex

IRRIGATION

The most commonly used irrigants include: (5)

EDTA CHLORHEXIDINE SODIUM HYPOCHLORITE CITRIC ACID DISTILLED WATER

EDTA %

CHLORHEXIDINE %

0.2%

Sodium hypochlorite %

5.25

CITRIC ACID %

50%

Obturation is done using ___ compaction technique

VERTICAL AND LATERAL

post endodontic restoration is done using

GIC OR TEMPORARY RESTORATION

Tooth with acute symptoms

MVE

complex cases requiring significant time commitment.

MVE

Endodontic therapy following trauma.

MVE

Non vital teeth & acute inflammation.

MVE

chronic periapical lesions.

MVE

Root canals that cannot be dried due to persistent apical exudates.

MVE

The main difference between the two is

ROOM FOR ERROR

The most common core material worldwide

GUTTA PERCHA

% of total volume with the remainder mostly zinc oxide and proprietary additives-- GP

20%

Gutta-percha has ___ toxicity when compared with other components used in endodontic obturation and has withstood the test of time in clinical usage

LOW DEGREE

phenol derivative and a major component of the numerous formulations of sealers that incorporate this liquid into a zinc oxide powder for placement with a solid core obturation

EUGENOL

cytotoxic and invoke an inflammatory response in connective tissues

ZOE

sealers are relatively new to the market place and have been promoted for their ability to stimulate repair.

CALCIUM HYDROXIDE

calcium hydroxide reported this initial toxicity was due to the formation of a very small amount of ____ as a result of the chemical setting process.

FORMALDEHYDE

biologically based procedures designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp–dentin complex.

REGENERATIVE ENDODONTICS

Regenerative endodontics biologically based procedures designed to replace the ____

DAMAGED STRUCTURES DENTIN ROOT STRUCTURE PULP DENTIN COMPLEX

the restoration of the vascularity to a tissue or organ

REVASCULARIZATION

the restoration of tissue continuity without the loss of original architecture and function

REPAIR

described as an in-growth of vital tissue that does not resemble the original lost tissue

REVITALIZATION

normal maturation of the root in the radiograph

REGENAERATIVE PROCEDURE

induced apexification resulted in the formation of a calcific barrier at the apex

CALCIUM HYDROXIDE MTA

PRIMARY GOAL OF REGENERATIVE ENDO

ELIMINATION OF SYMPTOMS AND EVIDENCE OF BONY HEALING

SECONDARY GOAL OF RE

INCREASED ROOT WALL THICKNESS AND INCREASED ROOT LENGTH

TERTIARY GOAL OF RE

POSITIVE RESPONSE TO VITALITY TEST

undifferentiated cells that are capable of differentiating into various specialized cell types

STEM CELLS

stem cell–based therapies

REGENERATIVE ENDODONTICS

STEM CELLS CAN BE ___ and __ IN NATURE

PLURIPOTENT MULTIPOTENT

Stem cells are located in specialized regions within the tissues termed

STEM CELL NICHES

most commonly employed stem cells in regenerative endodontics (5)

STEM CELLS OF APICAL PAPILLA DENTAL PULP STEM CELL INFLAMED PERIAPICAL PROGENITOR CELLS PERIODONTAL LIGAMENT STEM CELLS BONE MARROW STEM CELLS

growth factor significant for tooth regeneration

BONE MORPHOGENETIC PROTEINS

These factors promote the differentiation of mesenchymal stem cells into odontoblast-like cells

BMP

three-dimensional structure that contains growth factors

SCAFFOLD

one of the most commonly used scaffolds in regenerative endodontic procedures

PLATELET-RICH FIBRIN

contains a large quantity of platelet and cytokines

FIBRIN MATRIX

helps in migration of fibroblasts and endothelial cells and is the source of growth factors that aid in revascularization

FIBRIN

A ____ remaining at the apical end of the root canal might proliferate into the newly formed matrix and differentiate into ondontoblast

FEW VITAL PULP CELLS

Continued root development could be due to ________, which are present abundantly in immature permanent teeth.

MULTIPOTENT DENTAL PULP STEM CELLS

can proliferate and grow into the apical end and within the root canal. They may deposit hard tissue both at the apical end and on the lateral root walls

STEM CELLS IN THE PERIDONTAL LIGAMENT

Instrumentation beyond the confines of the root canal to induce bleeding can also transplant mesenchymal stem cells from the bone into the canal lumen.

STEM CELLS OF THE APICAL PAPILLA

rich source of growth factors such as platelet-derived growth factor, vascular endothelial growth factor, platelet-derived epithelial growth factor, and tissue growth factor

BLOOD CLOT

The root canal systems are slowly irrigated first with : RE

1.5% NAOCL (20ML/CANAL FOR 5 MINS)

and then irrigated with : RE

SALINE (20ML/CANAL FOR 5MINS)

with an irrigating needle positioned about : RE

1MM FROM THE ROOT END

FINAL TX VISIT FOR REGENERATIVE TYPICALLY WEEKS

2-4

the intracanal medicament is removed by irrigating with

17% EDTA (30ML/CANAL FOR 5MINS)

FINAL FLUSH OF INTRACANAL MEDICAMENTS

SALINE (5ML/CANAL FOR 1MIN)

Bleeding is induced by rotating a : RE

K FILE SIZE 25 2MM PAST THE APICAL FORAMEN

BLEEDING GOAL OF RE

WHOLE CANAL FILLED WITH BLOOD LEVEL OF CEJ

combination of more than one antibiotic mixed into a consistency of a paste

ANTIBIOTIC PASTE

TRIPLE ANTIBIOTIC PASTE

CIPROFLOXACIN METRONIDAZOLE MINOCYCLINE IN A MACROGOL PROPYLENE GLYCOL VEHICLE

Modified triple antibiotic paste

CIPROFLOXACIN METRONIDAZOLE CEFACLOR

ouble antibiotic paste

CIPROFLOXACIN METRONIDAZOLE

WHEN EMPLOYING ANTIBIOTIC PASTE IT SHOULD REMAIN (LOCATION)

BEOW CEJ

WHY ANTIBIOTIC SHOULD REMAIN BELOW CEJ

MINIMIZE CROWN STAINING

CONCENTRATION OF ANTIBIOTIC PASTE

0.1 mg/ml

Increase in the width of root canal walls within

12-24 MONTHS

Discoloration due to use of ___ in triple antibiotic paste

MINOCYCLINE

two terms routinely used in dentistry to predict and assess the treatment of disease

PROGNOSIS OUTCOME

forecast about probable course and outcome of a disease and chances of recovery

PROGNOSIS

measure of the success of the treatment and a consequence of the decisions made during the course of treatment

OUTCOME

absence of an apical radiolucent lesion. This means that a lesion present at the time of treatment has resolved or if there was no lesion present at the time of treatment, none has developed

RADIOGRAPHIC SUCCESS

is the continued persistence or development of radiolucency. Specifically a radiolucent lesion has remained the same, enlarged or has developed since treatment.

RADIOGRAPHIC FAILURE

indicates a state of uncertainty. This classification includes teeth with radiolucency that are asymptomatic and functional.

RADIOGRAPHICALLY UNKNOWN STATUS

plays a key role in the outcomes of root canal treatment

QUALITY OF CORONAL RESTORATION

Preoperative periapical lesion - OUTCOME

POOR LONG STANDING ROOT CANAL INFECTION

Large lesion

LOWER FREQUENCY OF COMPLETE REGENERATION OF PERIAPICAL BONE

the ____ the lesion, the more favorable is the treatment prognosis.

SMALLER

one of the constitutive preoperative factors negatively affecting the success of the endodontic treatment of the teeth with apical periodontitis

DIABETES

could introduce necrotic tissue and bacteria in the root canal into periapical tissues

OVERINSTRUMENTATION

leave bacteria in the apical few millimeters of the root canal

UNDERINSTRUMENTATION

PRIMARY CAUSE OF ENDODONTIC PATHOLOGY

PERSISTENT PRESENCE OF BACTERIA

to detect the presence or absence of a periapical lesion

RADIOGRAPHIC EXAMINATION

100

to detect the presence or absence of symptoms/signs.

CLINICAL EXAMINATION