29 Questions
What is a contraindication for direct pulp capping in permanent teeth?
Teeth with superficially necrotic pulps
When can re-entry to remove residual minimal carious dentin after capping with Ca(OH)2 be avoided?
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
What is the classic indication for direct pulp capping?
Pinpoint mechanical exposure surrounded with sound dentin
What is the purpose of using a red stain (Caries Detector) in caries removal?
To identify and remove the dead tissue dentin
What is the recommended treatment for primary teeth with carious exposure?
Pulpotomy
What is the characteristic of the bottom layer of carious softened dentin?
It is alive and capable of remineralization
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
What is an indication for direct pulp capping in permanent teeth?
Teeth with normal response to vitality testing
What is the goal of direct pulp capping?
To preserve the vitality of the pulp
What is the characteristic of exposed pulp tissue in direct pulp capping?
It should be bright red in color and have a slight hemorrhage
What is a consideration for direct pulp capping when the pulp exposure is caused by caries?
The pulp is likely to be inflamed
How many layers does carious softened dentin have?
Two layers
What is the universally accepted technique for treating teeth with incompletely formed roots and exposed pulps?
Vital technique
What should be assessed for the presence of reparative dentin?
Bitewing radiograph of the treated tooth
What should be used to remove peripheral carious dentin?
Sharp spoon excavators
What happens to the canals after root formation has been completed?
They become un negotiable
What should be covered with a hard-setting Ca(OH)2 dressing?
Remaining affected dentin
What is the ideal treatment for carious exposures in most cases?
Root canal treatment
How long should the sealed cavity be left undisturbed?
6 to 8 weeks
What is a reason for performing direct pulp capping?
Economics and time constraints
What type of cement can be used as a base in the cavity preparation?
Reinforced ZOE cement
What is the option if vital pulp therapy fails?
Endodontic treatment
What may be necessary to maintain the seal after the initial treatment?
Amalgam or composite resin as a final restoration
What is a characteristic of pulp tissue at the exposure site?
It should appear pink and intact.
What is a purpose of using a rubber dam in direct pulp capping?
To reduce the potential for bacterial contamination.
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.
What can be used to help arrest bleeding at the exposure site?
Sterile gauze with epinephrine.
What should be done if the pulp tissue is absent at the exposure site?
Perform a pulpotomy or RCT.
Why does the size of the exposure not influence healing in traumatic injuries?
Because of the lack of previous inflammation and infection.
This quiz covers the steps involved in a dental filling procedure, including radiograph assessment, removal of infected dentin, and irrigation of the cavity.
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