Endodontic Surgery Indications

Play an AI-generated podcast conversation about this lesson

What is a common issue in performing surgery related to the lingual aspect of mandibular teeth?

Risk to strategic anatomical structures
Difficult access (correct)
Medical conditions that prohibit long surgical procedures
Inability to visualize the surgical site

What is a benefit of using magnification and illumination in endodontic surgery?

Enhanced visualization and precision (correct)
Faster healing time
Reduced risk of periodontal problems
Improved access to the surgical site

In traditional microsurgery, what is the typical angle of bevel used for osteotomy?

20°
45° (correct)
30°
Less than 10°

What is a characteristic of retro preparation in traditional microsurgery?

Approximate and sometimes inside the canal (D) Signup and view all the answers

What is the typical time frame for healing after microsurgery?

After 1 week (D) Signup and view all the answers

What is the primary goal of root resection?

To eliminate weak, diseased roots (C) Signup and view all the answers

Which procedure involves vertical, surgical division of a tooth to remove an involved root?

Hemisection (D) Signup and view all the answers

What is a contraindication for root resection?

Fused roots (A) Signup and view all the answers

What is essential for a good prognosis after root resection?

Good oral hygiene (A) Signup and view all the answers

What procedure follows root canal treatment to seal a defect?

Sealing of the defect (A) Signup and view all the answers

What is the primary objective of guided tissue regeneration in corrective surgery?

To facilitate regeneration of periodontal tissues (C) Signup and view all the answers

What is the first step in managing a furcation perforation?

Internal, non-surgical repair (A) Signup and view all the answers

What is the primary indication for root resection in corrective surgery?

Furcation defects (D) Signup and view all the answers

What is the material of choice for repairing a cervical defect that does not penetrate into the pulp space?

Glass ionomer (A) Signup and view all the answers

What is the treatment approach for a strip perforation that is difficult to repair surgically?

Root amputation or hemisection (A) Signup and view all the answers

What is the recommended procedure to ensure a clean cavity after root-end preparation?

Irrigate with sterile saline or water and then use paper points to dry the preparation. (D) Signup and view all the answers

What is the purpose of removing the smear layer and exposing the apical collagen fibers?

To enhance the healing environment for cemental deposition and remove contaminated debris. (D) Signup and view all the answers

What is the consequence of using EDTA with mineral trioxide aggregate (MTA) as a root-end filling material?

It interferes with the hard tissue-producing effect of MTA. (D) Signup and view all the answers

What is a requirement of an ideal retrograde filling material?

It should be well tolerated by surrounding tissues and bactericidal. (C) Signup and view all the answers

What is the purpose of a root-end filling?

To seal the canal system apically and prevent the egress of bacteria and bacterial products into periradicular tissues. (B) Signup and view all the answers

When is the use of antibiotics not indicated in endodontic treatment?

When primary closure of the oral-antral communication is possible (A) Signup and view all the answers

What is the primary goal of guided tissue regeneration in endodontic surgery?

To regenerate periodontal tissue (B) Signup and view all the answers

Which of the following is a regenerative approach in endodontic surgery?

Guided tissue regeneration (B) Signup and view all the answers

What is the primary objective of furcation management in endodontic surgery?

To manage complex anatomy (C) Signup and view all the answers

What is the primary characteristic of periapical lesions?

They are a response to bacterial infection (D) Signup and view all the answers

What is the primary purpose of Guided Tissue Regeneration (GTR) in endodontic surgery?

To prevent apical migration of gingival epithelium (B) Signup and view all the answers

When is intentional replantation recommended?

When there are no other treatment options available (B) Signup and view all the answers

Which of the following is an indication for Guided Tissue Regeneration (GTR) in endodontic surgery?

Through and through lesions (D) Signup and view all the answers

What is a characteristic of intentional replantation?

Tooth extraction, correction of deficiencies outside the mouth, and replantation (D) Signup and view all the answers

What is an indication for Guided Tissue Regeneration (GTR) in furcation management?

Furcation involvement as a result of perforation (B) Signup and view all the answers

What is a primary objective of root-end cavity preparation?

To create a cavity into which a root-end filling can be placed (B) Signup and view all the answers

What is an advantage of ultrasonic root-end cavity preparation?

It creates a smaller size osteotomy and better access (C) Signup and view all the answers

What is a requirement of an ideal root-end preparation?

The apical 3mm of root canal must be cleaned and shaped (A) Signup and view all the answers

What is the purpose of removing isthmus tissues during root-end cavity preparation?

To seal the potential avenues of communication from the resected root-end to the canal system adequately (D) Signup and view all the answers

What is the benefit of using ultrasonic root-end cavity preparation in debridement of canal anastomoses?

It is more effective in the debridement of canal anastomoses (A) Signup and view all the answers

What is a characteristic of an ideal root-end preparation?

Adequate retention form (A) Signup and view all the answers

What is the primary goal of root-end cavity preparation?