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Questions and Answers
What is a primary consideration before recommending root-canal treatment?
Which condition is an absolute contraindication for endodontic treatment?
Which of the following is NOT considered a reason for performing vital pulp therapy?
Which phase of endodontic treatment aims to determine the disease condition and set a treatment plan?
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What is an example of a selective surgical procedure in endodontics?
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Endodontic therapy may not be recommended for which type of tooth?
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Which of the following is part of the scope of endodontics?
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Which of the following procedures is related to treating immature teeth?
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What is the primary focus of endodontics?
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Which of the following conditions is NOT typically treated by endodontics?
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Which procedure is commonly performed in endodontics for rebuilding the coronal part of a tooth?
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What is indicated by irreversible pulpitis in endodontic therapy?
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Which teeth are potential candidates for endodontic treatment?
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What does the term 'endodontics' derive from in Greek?
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Which factor can necessitate intentional endodontic treatment?
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What is a common result of a mesially drifted tooth that may require endodontic treatment?
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Study Notes
Endodontics Overview
- Endodontics is the branch of dentistry that focuses on the dental pulp and periapical tissues.
- It encompasses the biology of the normal pulp, etiology, diagnosis, prevention, and treatment of pulp diseases and injuries.
- "Endodontics" comes from the Greek words "en" (meaning within) and "odous" (meaning tooth).
Endodontic Tx Indications
- Endodontic therapy aims to save pulp and periapical involved teeth.
- All teeth (from central incisors to third molars) can be candidates for treatment.
- Endodontics is integrated into restorative and prosthetic procedures.
- Even severely broken-down teeth and abutment teeth can undergo endodontic treatment.
Endodontic therapy is generally indicated for:
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Pulp and apical pathology
- Irreversible pulpitis
- Pulp necrosis
- Pulp calcification, internal and external resorption
- Acute/chronic apical lesions
- Asymptomatic/symptomatic apical periodontitis
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Intentional endodontic treatment for healthy pulp
- Post and core construction when coronal structure is missing
- Overerupted or drifted teeth to prevent pulp exposure
- Tooth retention for overdentures
- Esthetics
- Crown fractures with pulp exposure
- Traumatic pulp exposure during procedures or injury
Endodontic Tx Contraindications
- While almost any tooth can undergo root canal treatment, several factors should be considered:
- Strategic importance of the tooth
- Restability of the tooth
- Periodontal involvement
- Absolute contraindications for endodontic treatment:
- Non-strategic teeth with no opposing tooth and unlikely to serve as abutment for future prosthesis
- Non-restorable teeth where proper function cannot be achieved after endodontic treatment
- Teeth with extensive internal or external root resorptions
- Teeth with insufficient periodontal support and severe mobility
- Single-root teeth with vertical root fracture through the root canal
Scope of Endodontics
- The scope of endodontic treatment options includes:
- Differential diagnosis and treatment of pulpal, periapical, and referred pain.
- Vital pulp therapy (pulp capping, pulpotomy, treatment of immature teeth: apexogenesis, and apexification)
- Non-surgical root canal treatment with or without periapical pathosis.
- Surgical removal of periapical pathosis (apical curettage, root-end resection, hemisection, bicuspidization, root resection, and root end filling).
- Intentional replantation and management of avulsed teeth and other traumatic tooth injuries
- Interrelationship between pulpal and periodontal disease.
- Endodontic endoesseous implants.
- Bleaching of discolored dentin and enamel.
- Retreatment of previously treated root canal systems.
Endodontic Treatment Phases
- Diagnostic phase: This stage aims to determine the disease condition and develop a treatment plan.
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Description
This quiz delves into the fundamentals of endodontics, focusing on the structure and function of dental pulp and the associated treatment methods. It covers indications for endodontic therapy and the conditions that necessitate intervention. Test your knowledge on the various aspects of this crucial dental specialty.
