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Index
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ENDDNT
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MIDTERMS
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CASE SELECTION AND TX PLANNING
level: CASE SELECTION AND TX PLANNING
Questions and Answers List
level questions: CASE SELECTION AND TX PLANNING
Question
Answer
The process of case selection and treatment planning begins___ a clinician has diagnosed an endodontic problem
after
Reasons for doing Case Selection:To determine if endodontic treatment ___ and ___be performed
should;could
Reasons for doing Case Selection:To determine need for ____ and _____
consultation; specialist referral
Factors in Case Selection: for first time practitioners, lower prognosis for cases with _____
previous treatment
Factors in Case Selection: for first time practitioners, higher prognosis for cases that are _____
first time case
Factors in Case Selection: in the presence of pathologic defects, you can_____ them possiblity of ___
forewarn; apicoectomy
Factors in Case Selection:Lahat ba ng ipin na may 3rd degree mobility dapat bunutin?
not always
Factors in Case Selection: if bone loss is due to periodontal problem, is endo a feasible treatment to restore normal bone levels?
no
Factors in Case Selection: if bone loss is due to pus from tooth, is endo a feasible treatment to restore normal bone levels?
yes
Factors in Case Selection: in cases where post and core is not feasible
don’t force endo treatment
Factors in Case Selection:some people choose to do endo even if the tooth is not restorable, why?
rather do endo treatment for preserve the bone for implant cases (if the px wants) because if you extract, the bone would recede and you do not know when the patient would have enough money for the implant procedure
TRUE OR FALSE:No medical condition directly contraindicates doing root canal therapy
TRUE
If the patient has conditions that contraindicate epinephrine, you can ____ the pulp
devitalize
TRUE OR FALSE: endodontics is indicated in normal or irreversible inflamed pulps that are used as abutments
TRUE
Proper Case Selection:An endodontic problem exists, but certain conditions contra-indicate RCT
SHOULD ENDODOTIC TREATMENT BE PERFORMED
Proper Case Selection: An endodontic problem exists, but does the clinician have the necessary skill to manage it.
CAN ENDODONTIC TREATMENT BE PERFORMED
how do you know when pulp is successfully devitalized with pulp devitalizer?
no more pain (1day to 1 week, it depends)
Pregnant – complications with ____ if procedure takes a long time
hypotension
anesthesia may not be effective with _____ and _____
recent acute abscess; acute pulpitis
common mistakes of anesthesia deposition
too fast, wrong position of bevel, not enough depth
If conventional therapy is impossible or impractical, _____ may be tried
surgical endodontics
Objective of treatment
To restore health, function, and esthetics
Objective of treatment planning:
To achieve treatment goals efficiently
Phases of Treatment:To prepare the operative field in order to facilitate performance of treatment proper
Pre-treatment Phase
Phases of Treatment:OHI
Pre-treatment Phase
Phases of Treatment:Scaling and polishing
Pre-treatment Phase
Phases of Treatment:Extraction
Pre-treatment Phase
Phases of Treatment:Caries control
Pre-treatment Phase
Phases of Treatment:Endodontic treatment
Treatment Proper
Phases of Treatment:Operative procedures
Treatment Proper
Phases of Treatment:Periodontal therapy
Treatment Proper
Phases of Treatment:Complex surgical procedures
Treatment Proper
Phases of Treatment:Orthodontic treatment
Treatment Proper
Phases of Treatment:Prosthetic rehabilitation
Treatment Proper
Phases of Treatment:To monitor healing
Post-treatment/ Maintenance Phase
Phases of Treatment:To detect new diseases
Post-treatment/ Maintenance Phase
Phases of Treatment:Take recall radiographs
Post-treatment/ Maintenance Phase
Phases of Treatment:Perform clinical examination
Post-treatment/ Maintenance Phase
Phases of Treatment:Reinforce OH
Post-treatment/ Maintenance Phase
Phases of Treatment:Do scaling and polishing
Post-treatment/ Maintenance Phase
VISIT RCT:Vital cases (accidental perforation)
Single-Visit RCT
VISIT RCT:Clinician's skill
Single-Visit RCT
VISIT RCT:Severity of patient's symptoms
Single-Visit RCT
VISIT RCT:Complex cases
Multiple-Visit RCT
VISIT RCT:Retreatment cases
Multiple-Visit RCT
VISIT RCT:Nonvital cases with apical periodontitis
Multiple-Visit RCT
Multiple-Visit RCT: Appointments should be approximately ____apart to maximize antimicrobial effects of calcium hydroxide intracanal medicament
1 week
VISIT RCT:Allow ___ between canal instrumentation and obturation for the periradicular tissues to recover
5 to 7 days
Pulp devitalizers
formaldehyde or pulp devitalizer cream