Surgical Endo 101
Exploratory surgery is done to determine
What is why healing has not occurred
describe a Hemisection
What is the root and the crown are cut lenghtwise and removed
Twisted in design
used in initial debridement
shapes and contours the canal
What is the K type file
inserted into the canal to absorb the irrigation solution
What are paper points
Three differnt types of cold stimulus that may be used in an office?
What is :
Ice StickEthyl Chloride (Endo Ice)
Dry Ice
Persistent infections, curved roots, pulp stones are indications of
What is endodontic failure
Describe what a Retrograde restoration is
What is a filling placed to seal the apex of the tooth
Thin / Flexible
fishhook like projections used to remove vital, inflamed hemorrhagic pulp tissue.
What is Barbed Broach
Pulp nerve damage is caused by what two sources
What is Physical irritation or Physical Trauma
This tooth is located in the same arch but opposing quadrant
Tissue sample taken and sent for testing
An apioectomy is to resolve / remove what?
What is a periradicular cyst
Similar in design to the k file
cutting edges are farther apart
removes dentin , smooths and increases canal size
What is Reamer File
Plastic slid on files to prevent perforation of the apex during instrumentation
What is a rubber stopper
This form of testing may produce a false reading if a tooth with more than one canal has one vital and one non vital...
When the root starts to dissolve
What is root resorption
Root Amputations and Hemisections are to remove the ______________________ comprimised section of a tooth.
What is Periodontally (comprimised)
Spiral edges
cutting only occurs on the pulling stroke
final enlargement of the canal , smoothing dentinal walls
What is the Hedstrom file
Long shank
cutting edges on the sides to enlarge the walls of the pulp chamber
What is the Gates glidden burs / drills
Treatment options for Irreversible pulpitis?
May be required to remove the pathogenic soft tissue around the root
What is apical curettage
When is a Root Canal contraindicated?
What is the tooth presents as non-restorable with gaurded prognosis/Unsalvagable = Non restorable teeth.
IE:Vertical root fractures
Poor perodontal prognosis /advanced disease
high torque
low RPM
latch type
What are rotary files
List the 5 possible X-rays required through the procedure?
1.preliminary/diagnosis
2. working length with file
3. Master cone verification
4. Final x-ray once RCT completed
5. Recall X-ray - interval to be determined by the dentist.
Often refered to as the least useful Endodontic diagnosis as it may indicate either reversible or irreversable pupitis