Endodontic Surgery Indications
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Questions and Answers

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?

    <p>Approximate and sometimes inside the canal</p> Signup and view all the answers

    What is the typical time frame for healing after microsurgery?

    <p>After 1 week</p> Signup and view all the answers

    What is the primary goal of root resection?

    <p>To eliminate weak, diseased roots</p> Signup and view all the answers

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

    <p>Hemisection</p> Signup and view all the answers

    What is a contraindication for root resection?

    <p>Fused roots</p> Signup and view all the answers

    What is essential for a good prognosis after root resection?

    <p>Good oral hygiene</p> Signup and view all the answers

    What procedure follows root canal treatment to seal a defect?

    <p>Sealing of the defect</p> Signup and view all the answers

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

    <p>To facilitate regeneration of periodontal tissues</p> Signup and view all the answers

    What is the first step in managing a furcation perforation?

    <p>Internal, non-surgical repair</p> Signup and view all the answers

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

    <p>Furcation defects</p> 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?

    <p>Glass ionomer</p> Signup and view all the answers

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

    <p>Root amputation or hemisection</p> Signup and view all the answers

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

    <p>Irrigate with sterile saline or water and then use paper points to dry the preparation.</p> Signup and view all the answers

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

    <p>To enhance the healing environment for cemental deposition and remove contaminated debris.</p> Signup and view all the answers

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

    <p>It interferes with the hard tissue-producing effect of MTA.</p> Signup and view all the answers

    What is a requirement of an ideal retrograde filling material?

    <p>It should be well tolerated by surrounding tissues and bactericidal.</p> Signup and view all the answers

    What is the purpose of a root-end filling?

    <p>To seal the canal system apically and prevent the egress of bacteria and bacterial products into periradicular tissues.</p> Signup and view all the answers

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

    <p>When primary closure of the oral-antral communication is possible</p> Signup and view all the answers

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

    <p>To regenerate periodontal tissue</p> Signup and view all the answers

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

    <p>Guided tissue regeneration</p> Signup and view all the answers

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

    <p>To manage complex anatomy</p> Signup and view all the answers

    What is the primary characteristic of periapical lesions?

    <p>They are a response to bacterial infection</p> Signup and view all the answers

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

    <p>To prevent apical migration of gingival epithelium</p> Signup and view all the answers

    When is intentional replantation recommended?

    <p>When there are no other treatment options available</p> Signup and view all the answers

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

    <p>Through and through lesions</p> Signup and view all the answers

    What is a characteristic of intentional replantation?

    <p>Tooth extraction, correction of deficiencies outside the mouth, and replantation</p> Signup and view all the answers

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

    <p>Furcation involvement as a result of perforation</p> Signup and view all the answers

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

    <p>To create a cavity into which a root-end filling can be placed</p> Signup and view all the answers

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

    <p>It creates a smaller size osteotomy and better access</p> Signup and view all the answers

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

    <p>The apical 3mm of root canal must be cleaned and shaped</p> Signup and view all the answers

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

    <p>To seal the potential avenues of communication from the resected root-end to the canal system adequately</p> Signup and view all the answers

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

    <p>It is more effective in the debridement of canal anastomoses</p> Signup and view all the answers

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

    <p>Adequate retention form</p> Signup and view all the answers

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

    <p>To seal the potential avenues of communication from the resected root-end to the canal system adequately</p> Signup and view all the answers

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

    <p>More parallel walls to the long axis for better retention</p> Signup and view all the answers

    What is the purpose of creating a cavity into which a root-end filling can be placed?

    <p>To seal the potential avenues of communication from the resected root-end to the canal system adequately</p> Signup and view all the answers

    What is a characteristic of ultrasonic root-end cavity preparation?

    <p>The deepest preparation possible coincident with pulp space anatomy</p> Signup and view all the answers

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