Dental Filling Procedure

What is a contraindication for direct pulp capping in permanent teeth?

Teeth with normal response to vitality testing
Teeth with superficially necrotic pulps (correct)
Teeth with periapical pathology in radiographs
Teeth with moderate to severe pain

When can re-entry to remove residual minimal carious dentin after capping with Ca(OH)2 be avoided?

When the pulp is exposed
When all carious dentin was removed except the portion that would expose the pulp and the final restoration maintains a seal and the tooth is asymptomatic (correct)
When the caries lesion is shallow
When the tooth is symptomatic

What is the classic indication for direct pulp capping?

Teeth with extensive pulp calcifications
Teeth with superficially necrotic pulps
Teeth with periapical pathology in radiographs
Pinpoint mechanical exposure surrounded with sound dentin (correct)

What is the purpose of using a red stain (Caries Detector) in caries removal?

To identify and remove the dead tissue dentin (A) Signup and view all the answers

What is the recommended treatment for primary teeth with carious exposure?

Pulpotomy (D) Signup and view all the answers

What is the characteristic of the bottom layer of carious softened dentin?

It is alive and capable of remineralization (A) Signup and view all the answers

What is the effect of the size of exposure on the success of direct pulp capping?

The larger the area of carious exposure, the poorer the prognosis (A) Signup and view all the answers

What is an indication for direct pulp capping in permanent teeth?

Teeth with normal response to vitality testing (D) Signup and view all the answers

What is the goal of direct pulp capping?

To preserve the vitality of the pulp (A) Signup and view all the answers

What is the characteristic of exposed pulp tissue in direct pulp capping?

It should be bright red in color and have a slight hemorrhage (D) Signup and view all the answers

What is a consideration for direct pulp capping when the pulp exposure is caused by caries?

The pulp is likely to be inflamed (D) Signup and view all the answers

How many layers does carious softened dentin have?

Two layers (A) Signup and view all the answers

What is the universally accepted technique for treating teeth with incompletely formed roots and exposed pulps?

Vital technique (C) Signup and view all the answers

What should be assessed for the presence of reparative dentin?

Bitewing radiograph of the treated tooth (C) Signup and view all the answers

What should be used to remove peripheral carious dentin?

Sharp spoon excavators (A) Signup and view all the answers

What happens to the canals after root formation has been completed?

They become un negotiable (D) Signup and view all the answers

What should be covered with a hard-setting Ca(OH)2 dressing?

Remaining affected dentin (D) Signup and view all the answers

What is the ideal treatment for carious exposures in most cases?

Root canal treatment (B) Signup and view all the answers

How long should the sealed cavity be left undisturbed?

6 to 8 weeks (D) Signup and view all the answers

What is a reason for performing direct pulp capping?

Economics and time constraints (B) Signup and view all the answers

What type of cement can be used as a base in the cavity preparation?

Reinforced ZOE cement (D) Signup and view all the answers

What is the option if vital pulp therapy fails?

Endodontic treatment (C) Signup and view all the answers

What may be necessary to maintain the seal after the initial treatment?

Amalgam or composite resin as a final restoration (A) Signup and view all the answers

What is a characteristic of pulp tissue at the exposure site?

It should appear pink and intact. (C) Signup and view all the answers

What is a purpose of using a rubber dam in direct pulp capping?

To reduce the potential for bacterial contamination. (D) Signup and view all the answers

What should be done to the pulp tissue at the exposure site before applying the pulp dressing?

The bleeding at the site should be arrested. (A) Signup and view all the answers

What can be used to help arrest bleeding at the exposure site?

Sterile gauze with epinephrine. (D) Signup and view all the answers

What should be done if the pulp tissue is absent at the exposure site?

Perform a pulpotomy or RCT. (B) Signup and view all the answers

Why does the size of the exposure not influence healing in traumatic injuries?

Because of the lack of previous inflammation and infection. (D) Signup and view all the answers