Dental Filling Procedure
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Dental Filling Procedure

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@LighterLily

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Questions and Answers

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?

    <p>To identify and remove the dead tissue dentin</p> Signup and view all the answers

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

    <p>Pulpotomy</p> Signup and view all the answers

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

    <p>It is alive and capable of remineralization</p> Signup and view all the answers

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

    <p>The larger the area of carious exposure, the poorer the prognosis</p> Signup and view all the answers

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

    <p>Teeth with normal response to vitality testing</p> Signup and view all the answers

    What is the goal of direct pulp capping?

    <p>To preserve the vitality of the pulp</p> Signup and view all the answers

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

    <p>It should be bright red in color and have a slight hemorrhage</p> Signup and view all the answers

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

    <p>The pulp is likely to be inflamed</p> Signup and view all the answers

    How many layers does carious softened dentin have?

    <p>Two layers</p> Signup and view all the answers

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

    <p>Vital technique</p> Signup and view all the answers

    What should be assessed for the presence of reparative dentin?

    <p>Bitewing radiograph of the treated tooth</p> Signup and view all the answers

    What should be used to remove peripheral carious dentin?

    <p>Sharp spoon excavators</p> Signup and view all the answers

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

    <p>They become un negotiable</p> Signup and view all the answers

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

    <p>Remaining affected dentin</p> Signup and view all the answers

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

    <p>Root canal treatment</p> Signup and view all the answers

    How long should the sealed cavity be left undisturbed?

    <p>6 to 8 weeks</p> Signup and view all the answers

    What is a reason for performing direct pulp capping?

    <p>Economics and time constraints</p> Signup and view all the answers

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

    <p>Reinforced ZOE cement</p> Signup and view all the answers

    What is the option if vital pulp therapy fails?

    <p>Endodontic treatment</p> Signup and view all the answers

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

    <p>Amalgam or composite resin as a final restoration</p> Signup and view all the answers

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

    <p>It should appear pink and intact.</p> Signup and view all the answers

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

    <p>To reduce the potential for bacterial contamination.</p> Signup and view all the answers

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

    <p>The bleeding at the site should be arrested.</p> Signup and view all the answers

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

    <p>Sterile gauze with epinephrine.</p> Signup and view all the answers

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

    <p>Perform a pulpotomy or RCT.</p> Signup and view all the answers

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

    <p>Because of the lack of previous inflammation and infection.</p> Signup and view all the answers

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