Podcast
Questions and Answers
What is the primary purpose of leaving a small amount of carious tissue during an indirect pulp cap?
What is the primary purpose of leaving a small amount of carious tissue during an indirect pulp cap?
What is the main difference between a direct pulp cap and an indirect pulp cap?
What is the main difference between a direct pulp cap and an indirect pulp cap?
What defines a pulpotomy procedure?
What defines a pulpotomy procedure?
During a pulpotomy in a deciduous tooth, what is done after removing the pulp chamber?
During a pulpotomy in a deciduous tooth, what is done after removing the pulp chamber?
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Which of the following statements about thermal sensitivity is correct?
Which of the following statements about thermal sensitivity is correct?
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Where should the anterior superior alveolar infiltration be administered for maxillary incisors?
Where should the anterior superior alveolar infiltration be administered for maxillary incisors?
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What is the primary reason the inferior alveolar nerve block is considered less effective for single tooth anesthesia?
What is the primary reason the inferior alveolar nerve block is considered less effective for single tooth anesthesia?
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What is a common contraindication for using epinephrine in local anesthesia?
What is a common contraindication for using epinephrine in local anesthesia?
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Which property of local anesthetics often leads to their widespread use in dental procedures?
Which property of local anesthetics often leads to their widespread use in dental procedures?
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Where is the mental nerve block administered?
Where is the mental nerve block administered?
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What is the typical duration of action for local anesthetics?
What is the typical duration of action for local anesthetics?
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Which local anesthetic property minimizes allergic reactions?
Which local anesthetic property minimizes allergic reactions?
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Where should the greater palatine nerve block be administered?
Where should the greater palatine nerve block be administered?
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Study Notes
Indirect Pulp Cap
- A small amount of carious tissue is left when there is a chance of nerve exposure
- Calcium hydroxide is placed on top of the nerve or closest to it, and then either a permanent or temporary restoration is placed
Direct Pulp Cap
- Calcium hydroxide is placed over an exposed nerve during a procedure
- A temporary restoration is placed
- The tooth is monitored, and if it remains asymptomatic, a permanent restoration is placed
Pulpotomy
- The coronal portion of the tooth is removed, leaving the pulp within the canals
- In deciduous teeth, the pulp chamber is removed, a hemostatic agent is placed for several minutes, and then a restoration is placed.
- In adult teeth, the pulp chamber is removed, but not the pulp and pulp canals, with the goal to close the apex with secondary dentin formation
Curettage
- Scraping and cleaning out of disease or infected tissue using a surgical instrument
Retrograde restoration
- Restoration placed in the apex following apicoectomy
Advantages of Rubber Dam
- Improves visibility
- Decreases moisture contamination
- Prevents caustic irrigants from entering the oral cavity
- Prevents accidental inhalation or swallowing of small instruments
Signs and Symptoms of Pulpitis
- Spontaneous or intermittent pain
- Severe pain
- Lingering pain to sweets or thermal change
- Pain or swelling to palpitation
- Pain to percussion or mastication
- Absence of pain with swelling
Pulp Testing
- Palpation: light pressure applied
- Thermal sensitivity: reaction to hot and cold
- Transillumination: used for anterior teeth; light can be placed on the lingual surface
- Mobility: excess mobility could indicate a large infection or less periodontal support
- Electronic pulp tester: slight electrical current is applied to determine pathology
Infiltration Anesthesia
- Anterior superior alveolar: Apex of any maxillary tooth at the mucobuccal fold
- Middle superior alveolar: Apex of maxillary 2nd premolar, mucobuccal fold
- Posterior Superior alveolar: Distal to apex of maxillary 2nd molar, mucobuccal fold
- Nasopalatine: Incisive papilla and lingual to central incisors
- Greater Palatine: Distal to 2nd molar, halfway between the gingival margin and midline
Mandibular Arch Anesthesia
- Infiltration: Not a good method due to density. Apex of incisor
- Inferior alveolar: Distal, superior, slightly lingual to retromolar pad
- Buccal: Buccal side, distal to the most distal tooth
- Mental: Between 1st and 2nd premolar, anterior mental foramen, and mucobuccal fold
Properties of Local Anesthetic
- Rapid onset
- Long duration (1 to 4 hours)
- Reversible
- Low toxicity
- Low incidence of allergy
- Economical
- Shelf life of at least 18 months
- Compatible with vasoconstrictors
Contraindications of Using Epinephrine
- Hypertension
- Severe cardiovascular disease
- Hyperthyroid
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Description
Test your knowledge on various dental treatment procedures including indirect and direct pulp caps, pulpotomy, curettage, and retrograde restoration. This quiz covers the methods and materials used in treating dental pulp issues. Perfect for dental students and professionals alike.
