Standard of Practice

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Questions and Answers

What is the main reason for the expanding shift in the delivery of patient care in American dentistry?

Increased availability of private practice models

Promotion of interdisciplinary treatment planning (correct)

Decreasing demand for specialized dental procedures

Reduced cost of patient care

Why are many young practitioners seeking opportunities within corporate and group models?

To participate in concerted patient management (correct)

To gain more experience in general dentistry

To reduce the complexity of endodontic procedures

To avoid patient safety concerns

What is the overriding value emphasized for patient management in the evolving dental care model?

Corporate and industry reliability

Cost control and profitability

Efficiency and speed of procedures

Quality and patient safety (correct)

What type of practitioners will benefit from the shift to corporate and group models of patient care?

Generalists and specialists alike Signup and view all the answers

What is the impact of dental schools graduating novice practitioners trained in a 'generalist model' of care?

More practitioners seeking opportunities in group models Signup and view all the answers

Why is it increasingly important for both generalists and specialists to participate in concerted patient management?

To ensure quality and patient safety Signup and view all the answers

Which of the following is NOT a potential shaping error in root canals?

Coronal discoloration Signup and view all the answers

According to research, which type of instruments offer better-centered preparations and maintain original canal positions?

Rotary nickel-titanium instruments Signup and view all the answers

What is essential for accurate length readings and safe preparations in root canal treatment?

Electronic apex locators and diagnostic quality radiographs Signup and view all the answers

Why is disinfection crucial in endodontic treatment?

To address periapical inflammation and remove bioburden Signup and view all the answers

What are used to disinfect the root canal system in endodontic irrigation?

Sodium hypochlorite and hydrogen peroxide Signup and view all the answers

Why are silver points not the current standard of practice in endodontics?

They tend to corrode and have sealing issues Signup and view all the answers

Which technology provides accurate imaging of periapical lesions and anatomic structures in multiple sections?

3-D cone beam-computed tomography (CBCT) Signup and view all the answers

What is essential in root canal treatment diagnostics but can be challenging for identifying periapical disease?

Radiographs Signup and view all the answers

Which technology offers a detailed examination of the root apex and anatomic features like isthmuses, unfound canals, fractures, and crazing?

Microscopes Signup and view all the answers

What facilitates the assessment of periradicular lesions and differentiating them from nonodontogenic damage?

3-D cone beam-computed tomography (CBCT) Signup and view all the answers

What enables precise excavation of dentin and support good obturation outcomes in conjunction with magnification?

Ultrasonic systems Signup and view all the answers

Which technology provides resistance and retains strength for mastication and parafunction after biomechanical instrumentation of root canal shapes?

Ultrasonic systems Signup and view all the answers

What is essential for tooth isolation in endodontic treatment?

Dental dam Signup and view all the answers

Why is consultation with specialists recommended in endodontic treatment?

To consider factors affecting prognosis Signup and view all the answers

What is the purpose of the operating microscope in endodontic techniques?

To aid in locating canals Signup and view all the answers

Why are thorough records important in endodontic treatment?

To provide objective data and documentation Signup and view all the answers

What is indicated by the use of the dental dam in endodontic treatment?

Inadequate use of the dental dam is a violation of the standard of practice Signup and view all the answers

What was recommended by the 2012 AAE Position Statement in relation to endodontic procedures?

Operating microscope should be used in endodontic treatment Signup and view all the answers

What is the purpose of AAE's Endodontic Case Difficulty Assessment Form and Guidelines?

To help generalists determine when to treat or refer cases based on patient, diagnostic, and additional considerations Signup and view all the answers

What is the sustainable practice model of American dentistry?

Incorporating new technologies for natural dentition salvage Signup and view all the answers

What is the standard of care in endodontics based on?

Acceptable levels of performance based on current scientific knowledge and clinical expertise Signup and view all the answers

What are examples of the current standard of practice in endodontics?

Utilization of biocompatible materials (MTA) for retrofilling Signup and view all the answers

When should generalists consider referral to an endodontist?

When the need for microscopy, regenerative procedures, or 3-D imaging arises Signup and view all the answers

What are patient considerations that may complicate endodontic treatment?

Limited opening, history of trauma, and periodontal-endodontic conditions Signup and view all the answers

What is the most important reason for applying a permanent restoration without delay after root canal treatment?

To prevent leakage contamination Signup and view all the answers

Which technology advancement can aid in the removal of fractured instruments during root canal treatment?

Dental operating microscopes Signup and view all the answers

What is crucial to prevent contamination of the obturated root canal system?

Keeping the temporary phase as short as possible Signup and view all the answers

What is essential for perforation to prevent chronic infection and failure?

Early diagnosis and treatment Signup and view all the answers

What has a high success rate with prompt diagnosis and treatment for sealing perforations?

Intracanal sealants like MTA or bioceramic repair materials Signup and view all the answers

What can cause injury to the inferior alveolar nerve or mental nerve during root canal treatment?

Overfilling or over-instrumenting root ends Signup and view all the answers

What is important for assessing neurovascular anatomy for safe treatment planning in endodontics?

Adequate diagnostic radiographs, such as CBCT imaging Signup and view all the answers

What is important for removing metallic obstructions during root canal treatment but can cause ultrasonic burns if not used properly?

Ultrasonic instrumentation Signup and view all the answers

What can lead to periodontal or endodontic lesions and lateral periodontal breakdown if not promptly diagnosed and treated?

Delayed diagnosis and treatment Signup and view all the answers

What is used to control leakage after compaction until a permanent restoration is placed?

Bonded barriers Signup and view all the answers

Study Notes

Coronal leakage from root-filled teeth can initiate and maintain periradicular inflammation.
Permanent restoration should be applied without delay to prevent leakage contamination.
All root canals were recontaminated in less than 30 days when exposed to natural saliva.
Bonded barriers can be used to control leakage after compaction until a permanent restoration is placed.
Keeping the temporary phase as short as possible is crucial to prevent contamination of the obturated root canal system.
Technology advancements, such as dental operating microscopes, can aid in the removal of fractured instruments.
Early diagnosis and treatment are essential for perforation to prevent chronic infection and failure.
Sealing of perforations with intracanal sealants like MTA or bioceramic repair materials has high success rate with prompt diagnosis and treatment.
Delayed diagnosis and treatment can lead to periodontal or endodontic lesions and lateral periodontal breakdown.
Overfilling or over-instrumenting root ends can cause injury to the inferior alveolar nerve or mental nerve.
Adequate diagnostic radiographs, such as CBCT imaging, aid in assessing neurovascular anatomy for safe treatment planning.
Ultrasonic instrumentation is important for removing metallic obstructions but can cause ultrasonic burns if not used properly.

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Test your knowledge of the modern approach to periradicular surgery, including the use of magnification, illumination, and microsurgery. Understand the benefits and techniques employed in this approach for improved prognosis.