Endodontic Procedures: Apical Preparation and Barrier Formation

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Questions and Answers

What is the purpose of Gates-Glidden sizes 4, 3, and 2 in the crown-down technique?

  • To remove pulp chamber obstructions
  • To establish working length
  • To enlarge canal orifices (correct)
  • To complete apical preparation

When using the step-down technique, which part of the canal is flared with Gates Glidden drills or rotary files?

  • Coronal one third (correct)
  • Canal orifices
  • Apical one third
  • Mid-root portion

What size file is typically used in the canal to reach the apical portion during the crown-down technique?

  • #30
  • #50
  • #15
  • #70 (correct)

How is the final apical preparation size determined in the crown-down technique?

<p>By introducing progressively larger files until resistance (D)</p> Signup and view all the answers

Which instrument is primarily used to establish the working length in the crown-down technique?

<p>#10 file (D)</p> Signup and view all the answers

In which direction is a large file like size #70 placed in the canal during apical preparation?

<p>Clockwise rotation (D)</p> Signup and view all the answers

What is one of the primary objectives in cleaning and shaping the root canal system?

<p>Remove infected soft and hard tissue (C)</p> Signup and view all the answers

What is an important mechanical objective in root canal instrumentation?

<p>Complete incorporation of original canals into the prepared shape (A)</p> Signup and view all the answers

What is a biologic advantage of enlarged apical canals and finer needles in root canal treatment?

<p>Allow deeper needle placement improving debridement and disinfection (B)</p> Signup and view all the answers

Why is it important to retain as much cervical and radicular dentin as possible during root canal instrumentation?

<p>To prevent root fractures (C)</p> Signup and view all the answers

What is one of the goals that is unlikely to be fully met with current techniques in root canal instrumentation?

<p>Complete preparation of all root canal surfaces (A)</p> Signup and view all the answers

Which of the following is NOT a primary objective in cleaning and shaping the root canal system?

<p>Increasing needle placement depth (D)</p> Signup and view all the answers

What is the main purpose of creating an apical matrix or barrier at the proper working length during apical preparation?

<p>To serve as a stop for gutta percha condensation (D)</p> Signup and view all the answers

What is the function of apical patency during cleaning and shaping procedures?

<p>To maintain working length and prevent apical blockage (D)</p> Signup and view all the answers

Why is it important to avoid forcing debris through the apical foramina?

<p>To prevent trauma to periapical tissue (D)</p> Signup and view all the answers

What is the average distance from the apical foramen to the apical constriction?

<p>0.5 millimeters (C)</p> Signup and view all the answers

Which factor influences the choice of obturation technique in apical preparation?

<p>Canal shape and size (D)</p> Signup and view all the answers

What is the significance of apical constriction in root canal treatment?

<p>It serves as a landmark for root canal length determination (D)</p> Signup and view all the answers

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