Endodontic Access and Isolation Quiz

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Questions and Answers

What is the primary advantage of using isolation during endodontic procedures?

  • Significantly increases tooth survival rates after initial RCT
  • Enhances visibility (correct)
  • Protects from laceration by rotary instruments
  • Reduces the potential for transmission of systemic diseases

What is the recommended thickness for rubber dam (RD)?

  • Medium (correct)
  • Extra-heavy
  • Light
  • Heavy

When using a non-wing clamp, in what order should the rubber dam (RD) and clamp be placed?

  • Place RD first, then the clamp (correct)
  • Place the clamp first, then stretch RD over the clamp
  • Put the frame on after RD placement
  • There is no specific order when using a non-wing clamp

What may need to be done before placing a rubber dam (RD) if there is not much tooth structure to clamp?

<p>Remove decay and build up to allow proper isolation (C)</p> Signup and view all the answers

Where is the pulp generally located in relation to the tooth's anatomy?

<p>At the cementoenamel junction (CEJ) (B)</p> Signup and view all the answers

What is used to fill spaces that a rubber dam (RD) can't reach, such as when isolated around bridges?

<p>Caulk (B)</p> Signup and view all the answers

Why is it important to consider the morphology of each individual tooth group when determining access openings for endodontic procedures?

<p>To prevent damage to surrounding structures (C)</p> Signup and view all the answers

What purpose does using a rubber dam (RD) serve during endodontic procedures?

<p>Creates an aseptic environment (A)</p> Signup and view all the answers

What is a barrier against when using a rubber dam (RD) during endodontic procedures?

<p>The patient's saliva and oral bacteria (A)</p> Signup and view all the answers

What is one of the benefits of using rubber dam isolation during endodontic procedures?

<p>Reduces potential transmission of systemic diseases (C)</p> Signup and view all the answers

What is the recommended shape to access preps for a normal tooth with radiographic evidence of pulp chamber and canal space?

<p>Outline form (B)</p> Signup and view all the answers

What can change with time in relation to the projection of internal anatomy onto external structure deposited on the floor of the chamber?

<p>Pulp size and number of cells (B)</p> Signup and view all the answers

What is the main purpose of Convenience Form in endodontic procedures?

<p>To modify ideal outline form (A)</p> Signup and view all the answers

What is essential for the development of an aseptic environment prior to entering the pulp chamber or radicular space?

<p>Caries removal (D)</p> Signup and view all the answers

What is a common error during endodontic procedures involving the periphery cleaning?

<p>Entering the pulp chamber before coronal structure preparation (D)</p> Signup and view all the answers

Which population is the C-shape canal morphology common in?

<p>Asian population (A)</p> Signup and view all the answers

What must be placed before files and broaches are used in endodontic procedures?

<p>Rubber dam (A)</p> Signup and view all the answers

What is used to detect canal orifice or dislodge calcifications during endodontic procedures?

<p>Sharp endo explorer (C)</p> Signup and view all the answers

What should be assessed using pre-op images to determine case difficulty in endodontic procedures?

<p>Morphology of each individual tooth group (D)</p> Signup and view all the answers

What can hinder visibility during access through crowns with extensive foundations in endodontic procedures?

<p>Access through crowns with extensive foundations can hinder visibility. (C)</p> Signup and view all the answers

Flashcards

Advantage of isolation

Enhances visibility of the operating field.

Recommended RD thickness

Medium thickness provides a balance of strength and flexibility.

RD and clamp placement order

First the rubber dam, then the clamp, when using a non-winged clamp.

Pre-RD prep

Removal of decay or buildup may be needed to provide a secure and proper isolation.

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Pulp location

Generally located at the cementoenamel junction (CEJ).

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Filling RD gaps

Caulk fills gaps where the rubber dam can't reach, such as around bridges.

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Considering tooth morphology

To prevent damage to surrounding tooth structures during access.

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Purpose of RD

A rubber dam creates an aseptic environment during procedures.

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RD barrier

A barrier against the patient's saliva and oral bacteria.

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Benefit of RD isolation

Reduces the potential transmission of systemic diseases.

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Recommended access shape

Outline form is the recommended shape to access preps for a normal tooth.

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Change with time

Pulp size and number of cells can change over time.

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Purpose of convenience form

To modify ideal outline form to allow better access.

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Essential caries removal

Caries removal is essential for creating an aseptic environment.

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Common periphery error

Entering the pulp chamber before coronal structure preparation.

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C-shape canal population

Common in the Asian population.

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RD placement timing

Rubber dam must be placed before files and broaches are used.

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Detecting canals

Sharp endo explorer is used to detect canal orifice or dislodge calcifications.

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Assess pre-op images

Morphology of each individual tooth group should be assessed.

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Visibility through crowns

Access through crowns with extensive foundations can hinder visibility.

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Study Notes

Isolation in Endodontic Procedures

  • The primary advantage of using isolation during endodontic procedures is to prevent contamination and ensure asepsis.

Rubber Dam (RD)

  • The recommended thickness for rubber dam (RD) is 0.06 mm.
  • When using a non-wing clamp, the rubber dam (RD) should be placed first, followed by the clamp.
  • If there is not much tooth structure to clamp, a build-up may be needed before placing a rubber dam (RD).

Tooth Anatomy

  • The pulp is generally located in the center of the tooth, between the enamel and dentin.

Access Openings

  • It is important to consider the morphology of each individual tooth group when determining access openings for endodontic procedures.
  • The recommended shape to access preps for a normal tooth with radiographic evidence of pulp chamber and canal space is a triangular or oval shape.

Isolation During Endodontic Procedures

  • Using a rubber dam (RD) serves as a barrier against saliva, bacteria, and debris during endodontic procedures.
  • One of the benefits of using rubber dam isolation during endodontic procedures is to improve visibility and control.

Endodontic Procedures

  • Convenience Form is used to facilitate the development of an aseptic environment prior to entering the pulp chamber or radicular space.
  • Failure to clean the periphery is a common error during endodontic procedures.
  • The C-shape canal morphology is common in the Asian population.

Pre-Procedure Preparation

  • A rubber dam (RD) must be placed before files and broaches are used in endodontic procedures.
  • A explorer is used to detect canal orifice or dislodge calcifications during endodontic procedures.
  • Case difficulty should be assessed using pre-op images to determine the complexity of the procedure.

Challenges During Endodontic Procedures

  • Extensive foundations in crowns can hinder visibility during access in endodontic procedures.

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