Endodontics Quiz
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Questions and Answers

Which of the following is NOT a phase of endodontic therapy?

  • Obturation phase
  • Diagnostic phase
  • Preparatory phase
  • Extraction phase (correct)
  • Endodontic therapy can be performed on teeth without pulpal or periapical pathosis.

    True

    What is the primary objective of endodontics?

    To prevent, diagnose, and treat pulp and periradicular diseases.

    The process of filling the root canal system with an inert material is called __________.

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

    Match the treatment indications with their descriptions:

    <p>Traumatic pulp exposure = Accidental injury causing pulp exposure Teeth retained for overdenture = Supporting structures for removable dentures Internal resorption = Destruction of dental pulp from within Overerupted teeth = Teeth extending too far due to lack of opposing forces</p> Signup and view all the answers

    Which condition is a contraindication for endodontic therapy?

    <p>Teeth with vertical root fracture</p> Signup and view all the answers

    The preparatory phase involves the removal of the contents in the pulp chamber.

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

    List one common indication for performing endodontic therapy.

    <p>Pulpal or periradicular pathosis.</p> Signup and view all the answers

    What is the average length of a maxillary canine tooth?

    <p>26 mm</p> Signup and view all the answers

    The mandibular incisors have three pointed pulp horns.

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

    What is the root canal configuration of the mandibular incisors most commonly observed?

    <p>Class I root canal system</p> Signup and view all the answers

    The outline form of the access cavity for maxillary canine is ________ in shape.

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

    Which of the following statements about the root canal configuration of the mandibular incisors is true?

    <p>60% are Class I, 30% are Class III, and 10% are Class II.</p> Signup and view all the answers

    What is the shape of the cervical cross-section of the maxillary canine?

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

    The average length of mandibular incisors is ________ mm.

    <p>21.5</p> Signup and view all the answers

    Match the following tooth types with their specific characteristics:

    <p>Maxillary canine = Triangular access cavity Mandibular incisor = Three pointed pulp horns Root canal configuration = Class I most common Pulp chamber shape = Oval in cervical section</p> Signup and view all the answers

    What is the average length of the palatal root for maxillary molars?

    <p>20.5 mm</p> Signup and view all the answers

    The mesial root of the mandibular first molar contains only one canal.

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

    What shape is the outline form of the access cavity when there are four root canals?

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

    The distal root of the mandibular first molar usually contains a single canal, while about ___% has an extra canal.

    <p>30</p> Signup and view all the answers

    Match the following root canals with their respective roots in the maxillary second molar:

    <p>Mesiobuccal = MB1, MB2 Distobuccal = Class I Palatal = Class I Buccal root = Two canals (Class II or III)</p> Signup and view all the answers

    Which root canal configuration is most common for mesial roots in maxillary molars?

    <p>Two canals, Class II or III</p> Signup and view all the answers

    Both mesial and distal roots of the mandibular first molar generally curve distally.

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

    What is the average length of the mesial root in the mandibular second molar?

    <p>21 mm</p> Signup and view all the answers

    What is the average length of the mandibular first premolar?

    <p>21 mm</p> Signup and view all the answers

    The maxillary first molar has two roots.

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

    What is the primary root canal configuration found in mandibular second premolars?

    <p>single root canal (class I)</p> Signup and view all the answers

    The outline form of the access cavity for the mandibular first premolar is ______ in bucco-lingual direction.

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

    Match the following dental features with their corresponding tooth:

    <p>Mandibular first premolar = 14-degree distal-axial inclination of the root Mandibular second premolar = 34-degree buccal-axial angulation of the root Maxillary first molar = Second mesiobuccal canal present 96% of the time</p> Signup and view all the answers

    Which statement is true regarding the maxillary first molar's roots?

    <p>The mesiobuccal root often contains an additional canal.</p> Signup and view all the answers

    A cross-section of the maxillary first molar at the cervical level can be trapezoidal.

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

    The average length of the mandibular second premolar is ______ mm.

    <p>21.5</p> Signup and view all the answers

    What is the primary location for initial penetration when preparing the access cavity in mandibular molars?

    <p>Central pit</p> Signup and view all the answers

    Perforation of a palatal root is commonly caused by assuming the canal to be curved.

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

    What is the consequence of inadequate vertical preparation in molar access cavity preparation?

    <p>Failure to recognize severe buccal inclination of an unopposed molar</p> Signup and view all the answers

    The outline form for a three-orifice cavity in mandibular molars is _____ with the base mesially and apex distally.

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

    Match the following errors with their descriptions related to access cavity preparation:

    <p>Overextended preparation = Undermining enamel walls Perforation into furcation = Narrow pulp chamber passed Missed second distal canal = Failure to recognize additional canal Ledge formation = Failure to provide straight line access</p> Signup and view all the answers

    What is the primary benefit of straight line access (SLA) in endodontic procedures?

    <p>Unobstructed access to the canal orifices</p> Signup and view all the answers

    For improved access to the apical foramen, more tooth structure should be preserved.

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

    What must be removed during endodontic cavity preparation to ensure optimal conditions?

    <p>carious dentin and defective restorations</p> Signup and view all the answers

    The softened gutta-percha technique may require the outline form to be widely extended to accommodate __________ instruments.

    <p>rigid pluggers</p> Signup and view all the answers

    Match the following reasons for removing carious dentin with their purposes:

    <p>Eliminate bacteria = To mechanically reduce bacteria inside the tooth Remove discoloration = To avoid staining of the crown Prevent saliva leakage = To prevent contamination in the prepared cavity</p> Signup and view all the answers

    What controls the direction of the tip of the root canal instrument during a procedure?

    <p>Both the clinician's fingers and the canal walls</p> Signup and view all the answers

    The toilet of the cavity refers to keeping debris inside the endodontic cavity.

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

    What type of access is crucial for allowing endodontic instruments to extend down the canal freely?

    <p>direct access to the apical foramen</p> Signup and view all the answers

    Study Notes

    Definition of Endodontics

    • Endodontics is the art and science of preventing, diagnosing, and treating pulp and periradicular diseases.

    Objectives of Endodontic Treatment

    • Endodontic treatment aims to make the affected tooth biologically acceptable, symptom-free, and functioning without any diagnosable pathosis.

    Phases of Endodontic Therapy

    • Endodontic treatment involves three phases:
      • Diagnostic phase: Identifying the cause of the disease and developing a treatment plan.
      • Preparatory phase: Removing pulp chamber contents and shaping root canals to accommodate a three-dimensional filling.
      • Obturation phase: Filling the root canal system with an inert material to ensure a fluid-tight seal.

    Contraindications for Endodontic Therapy

    • Modern endodontics can often address conditions previously considered contraindications. However, some conditions require careful consideration:
      • Insufficient periodontal support: Endodontic treatment is planned to maintain retention.
      • Vertical root fracture: Extraction may be the only solution for single-rooted teeth.
      • Extensive internal or external resorption or large perforations: Surgical intervention may be needed.
      • Non-restorable teeth: If treatment cannot restore functionality, extraction is often necessary.
      • Teeth with unsuitable root canals for instrumentation (e.g., calcified canals): Apical surgery or extraction is the recommended resolution
      • Systemic diseases contraindicating surgical endodontics: Certain systemic conditions may prevent surgical intervention.

    Macroscopic Anatomy of Pulp Space

    • The pulp space is the internal area of a tooth containing the pulp. The hard tissue surrounding the pulp space varies in configuration and shape.
    • Anatomy includes the coronal pulp (Pulp chamber and pulp horns) and radicular pulp (Root canals).
    • Specific features such as pulp chamber roof, floor, walls, pulp horns, and root canals, including anatomical apex and apical foramen.
    • Types of root canal systems (e.g., class I, class II, class III) are described graphically with associated features (number of canals, orifices, and foramina).

    Tooth Morphology and Pulp Space Considerations

    • Detailed descriptions of the maxillary central incisor, lateral incisor, canine, first premolar, second premolar, first molar, and second molar are included in the document.
    • The macroscopic anatomy and tooth morphology are described for each tooth.
    • Features included in the description are a labial view (mesiodistally), proximal view (labiolingually), cross-sections, average length, root canal configuration, and outline form of access cavities.

    Endodontic Cavity Preparation

    • The process involves two basic steps: coronal preparation (access cavity) and radicular preparation.
    • Access cavity preparation has the following key aspects: Outline form, convenience form, removal of carious dentin/defective restoration, and toilet of the cavity.
    • Factors such as the size and shape of the pulp chamber and the curvature of the root canals influence access cavity preparation.
    • Errors in access cavity preparation are described, with specific instances in anterior teeth and premolars and molars in both maxillary and mandibular arches

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    Description

    Test your knowledge of endodontic therapy with this quiz. It covers phases of treatment, indications, and specific anatomical details related to root canals. Perfect for dental students and professionals looking to refresh their understanding of endodontics.

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