Endodontic Instrumentation Techniques Quiz

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Questions and Answers

What are the causes of canal blockage?

  • Dentine shavings compacted into a hardened mass
  • Packing of pulp tissue to form collagen plug
  • No irrigation during preparation
  • All of the above (correct)

How can ledge formation be detected?

  • When the instrument can no longer be inserted to the full working length
  • Instrument tip hits against a solid wall with no tactile sensation of binding
  • Radiograph shows inability of the inserted instrument to reach full working length
  • All of the above (correct)

What is the most common cause of instrument separation?

  • Placing exaggerated bends on instruments in curved canals
  • Using stressed instruments
  • Excessive rotation of the instrument in a canal after binding (correct)
  • Forcing a file down a canal

What is the recommended correction for canal blockage?

<p>Recapitulation using copious irrigation (B)</p>
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What is the purpose of using patency files in root canal shaping?

<p>To maintain patency of the canal (A)</p>
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What are the consequences of under-extended access cavity preparation?

<p>Both a and b (C)</p>
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What is the most common difficulty encountered in preparing small, curved canals?

<p>Large sized root canal instrument straightens within the canal (D)</p>
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What is the recommended prevention for transportation in root canal shaping?

<p>All of the above (D)</p>
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Which technique involves using an initial file followed by 3-4 successive files to the full working length to create an apical stop?

<p>Standarized technique (D)</p>
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What is the purpose of a patency file?

<p>To check patency of the canal and remove accumulated debris (B)</p>
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What is the motion used in the standarized technique for shaping the root canal?

<p>Circumferential filing (C)</p>
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In which technique is the apical coronal preparation achieved from coronal to apical?

<p>From coronal to apical. MODIFICATION (C)</p>
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What is the minimum degree of motion for the master apical file (MAF) in the apical coronal technique?

<p>$30-60°$ in #40 (B)</p>
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What is the purpose of the patency file in root canal shaping?

<p>To remove accumulated debris and maintain working length (C)</p>
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In the step back technique, what is the purpose of the patency file?

<p>To check patency of the canal and remove accumulated debris (B)</p>
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What type of file is used as the patency file?

<p>K-file (C)</p>
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Which technique involves a combination of apical coronal and coronal apical preparation?

<p>Combination (Hybrid) technique (D)</p>
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What is the purpose of the initial apical file (IAF) in the apical coronal technique?

<p>To establish the initial apical size (D)</p>
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What are the advantages of the step back technique in endodontic instrumentation?

<p>Shaping apical 1/3 with small flexible files and maintaining proper resistance form (B)</p>
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What is a disadvantage of the step back technique in endodontic instrumentation?

<p>Minimal effect of irrigation at initial stages (D)</p>
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What are the advantages of the crown-down technique in endodontic instrumentation?

<p>Elimination of microbes, better irrigant penetration, and less extruded debris (A)</p>
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What is the purpose of the Balanced Force motion technique in endodontic instrumentation?

<p>To prevent file movement and maintain centralization in the canal (D)</p>
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What is a phase involved in the mechanical preparation of radicular access?

<p>Coronal flare (C)</p>
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What is the aim of anti-curvature filling in endodontic instrumentation?

<p>To apply pressure away from the dangerous zone in the root canal (B)</p>
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What are the advantages of Nickel Titanium (NiTi) endodontic instruments?

<p>Quick canal enlargement and less time for preparation (B)</p>
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What are the guidelines for using rotary NiTi instruments in endodontic instrumentation?

<p>Passive technique, detecting difficult canal anatomy, and avoiding overuse of files (C)</p>
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What is the purpose of power-assisted root canal instrumentation in endodontics?

<p>To facilitate better flushing and cleaning of the canal during instrumentation (C)</p>
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What is acoustic streaming in endodontic instrumentation?

<p>A method for better flushing and cleaning of the canal during instrumentation (A)</p>
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Flashcards

Causes of canal blockage?

All of the above.

How to detect ledge formation?

All of the above.

Most common cause of instrument separation?

Excessive rotation of the instrument in a canal after binding.

Recommended correction for canal blockage?

Recapitulation using copious irrigation.

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Purpose of patency files?

To maintain patency of the canal.

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Consequences of under-extended access cavity preparation?

Both a and b.

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Most common difficulty in small, curved canals?

Large sized root canal instrument straightens within the canal.

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Recommended prevention for transportation?

All of the above.

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Technique using an initial file followed by 3-4 successive files?

Standarized technique

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Purpose of a patency file?

To check patency of the canal and remove accumulated debris

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Motion used in the standarized technique?

Circumferential filing

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Apical coronal preparation achieved?

From coronal to apical.

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Minimum degree of motion for the master apical file?

$30-60°$ in #40

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Purpose of the patency file in root canal shaping?

To remove accumulated debris and maintain working length

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Purpose of patency file in step back technique?

To check patency of the canal and remove accumulated debris

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Type of file used as the patency file?

K-file

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Technique combining apical coronal and coronal apical preparation?

Combination (Hybrid) technique

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Purpose of the initial apical file?

To establish the initial apical size

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Advantages of step back technique?

Shaping apical 1/3 with small flexible files and maintaining proper resistance form

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Disadvantage of step back technique?

Minimal effect of irrigation at initial stages

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Advantages of crown-down technique?

Elimination of microbes, better irrigant penetration, and less extruded debris

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Purpose of Balanced Force motion technique?

To prevent file movement and maintain centralization in the canal

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Phase involved in the mechanical preparation of access?

Coronal flare

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Aim of anti-curvature filling?

To apply pressure away from the dangerous zone in the root canal

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Advantages of Nickel Titanium (NiTi) instruments?

Quick canal enlargement and less time for preparation

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Guidelines for using rotary NiTi instruments?

Passive technique, detecting difficult canal anatomy, and avoiding overuse of files

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Purpose of power-assisted root canal instrumentation?

To facilitate better flushing and cleaning of the canal during instrumentation

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Acoustic streaming in endodontic instrumentation?

A method for better flushing and cleaning of the canal during instrumentation

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Study Notes

Endodontic Instrumentation Techniques and Considerations

  • Step back and crown-down techniques are commonly used in endodontic instrumentation
  • Advantages of step back technique include shaping apical 1/3 with small flexible files and maintaining proper resistance form
  • Disadvantages of step back technique include minimal effect of irrigation at initial stages and high stress on the file
  • Crown-down technique advantages include elimination of microbes, better irrigant penetration, and less extruded debris
  • Hybrid preparation combines step back and step down techniques
  • Mechanical preparation of radicular access involves four phases: coronal flare, canal length negotiation, canal enlargement, and final shaping
  • Balanced Force motion is a technique to prevent file movement and maintain centralization in the canal
  • Anti-curvature filling involves applying pressure away from the dangerous zone in the root canal
  • Power-assisted root canal instrumentation includes low-speed rotary instruments and engine-driven reciprocating instruments
  • Acoustic streaming is a method for better flushing and cleaning of the canal during instrumentation
  • Nickel Titanium (NiTi) endodontic instruments offer advantages such as quick canal enlargement and less time for preparation
  • Guidelines for using rotary NiTi instruments include passive technique, detecting difficult canal anatomy, and avoiding overuse of files

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