Podcast
Questions and Answers
What is a key factor to consider in case of direct pulp capping in deep carious lesions?
What is a key factor to consider in case of direct pulp capping in deep carious lesions?
- Presence of spontaneous pain prior to treatment
- Use of Caries Detector Dye
- Open apex in permanent teeth
- Size of the lesion (correct)
What is the purpose of gently enlarging the pulpal wound during pulp exposure preop diagnosis?
What is the purpose of gently enlarging the pulpal wound during pulp exposure preop diagnosis?
- To induce spontaneous pain
- To perform a pulpotomy
- To control the pulpitis disease
- To assess the bleeding from the pulp (correct)
In which case is a pulpectomy indicated?
In which case is a pulpectomy indicated?
- Failures related to misdiagnosis of the severity of the pulpitis disease
- Failures related to restoration quality and sealing ability (correct)
- Failures related to secondary infection
- Failures related to insufficient pulp tissue removal
What is a possible alternative to using Calcium Silicate for a bonded restoration?
What is a possible alternative to using Calcium Silicate for a bonded restoration?
When is the age of the patient considered secondary to symptoms in direct pulp capping?
When is the age of the patient considered secondary to symptoms in direct pulp capping?
Which treatment principle should be followed for a tooth with a root fracture?
Which treatment principle should be followed for a tooth with a root fracture?
What is the main objective in treating an immature tooth?
What is the main objective in treating an immature tooth?
What is the success rate of direct pulp capping for inflamed pulp due to caries?
What is the success rate of direct pulp capping for inflamed pulp due to caries?
What is the pooled pulp survival rate after 1.5 years for exposed pulps with deep caries lesions in adults?
What is the pooled pulp survival rate after 1.5 years for exposed pulps with deep caries lesions in adults?
What are the exclusion criteria for direct pulp capping?
What are the exclusion criteria for direct pulp capping?
What is the preferred treatment when the apical foramen is not completely formed?
What is the preferred treatment when the apical foramen is not completely formed?
What is the occurrence of pulp revascularization enhanced by in humans?
What is the occurrence of pulp revascularization enhanced by in humans?
What could be expected to be between 18 and 25% for complete revascularization of the pulp in a tooth with an open apex after avulsion?
What could be expected to be between 18 and 25% for complete revascularization of the pulp in a tooth with an open apex after avulsion?
What type of fracture involves dentin, cementum, and pulp?
What type of fracture involves dentin, cementum, and pulp?
What are possible complications of traumatic injuries according to the text?
What are possible complications of traumatic injuries according to the text?
Study Notes
- Root fracture: - Do not move loose teeth - X Root fracture: extrusion, luxation, force - Prognosis: 20% permanent pulp necrosis in coronal segment after successful endodontic treatment
- Necrotic pulp: - Difficult to treat - Inadequate strength - Believed pulp progenitor cells cannot survive infection
- Antibiotic mixture study: - Ciprofloxacin, metronidazole, minocycline - Penetrates through root dentin - Kills bacteria in deep layers of extracted tooth root dentine
- Regenerative Endodontics: - Evoked-bleeding step triggers accumulation of undifferentiated stem cells in canal space
- Immature tooth: - Main objective: continuation of alveolar growth and maturation - Antibiotic mixture has higher success rate than calcium hydroxide in vital pulp therapy
- Direct pulp capping: - Requirements for success: healthy pulp (trauma/iatrogenic) - Success rate: >90%, inflamed pulp (caries): <35%
- Deep caries lesions in adults: - Randomized clinical trials: stepwise excavation decreases risk of pulp exposure - Success rate: 74.1% for stepwise, 62.4% for complete excavation - Pooled pulp survival rate: 33.2% after 1.5 years for exposed pulps.
Exclusion criteria: - Prolonged pain, night sleep disturbance, no response to cold and electrical pulp testing, attachment loss > 5mm, apical radiolucency.
Root fracture treatment principles: - Do not attempt to move loose teeth - X Root fracture: extrusion, luxation, force - Prognosis: 20% permanent pulp necrosis in coronal segment after successful endodontic treatment.
Necrotic pulp: - Difficult to treat - Inadequate strength - Believed pulp progenitor cells cannot survive infection.
Antibiotic mixture study: - Ciprofloxacin, metronidazole, minocycline - Penetrates through root dentin - Kills bacteria in deep layers of extracted tooth root dentine.
Regenerative Endodontics: - Evoked-bleeding step triggers accumulation of undifferentiated stem cells in canal space - These cells might contribute to regeneration of pulpal tissues.
Immature tooth: - Main objective: continuation of alveolar growth and maturation - Antibiotic mixture has higher success rate than calcium hydroxide in vital pulp therapy.
Direct pulp capping: - Requirements for success: healthy pulp (trauma/iatrogenic) - Success rate: >90%, inflamed pulp (caries): <35% - Exclusion criteria: prolonged pain, night sleep disturbance, no response to cold and electrical pulp testing, attachment loss > 5mm, apical radiolucency.
Deep caries lesions in adults: - Randomized clinical trials: stepwise excavation decreases risk of pulp exposure - Success rate: 74.1% for stepwise, 62.4% for complete excavation - Pooled pulp survival rate: 33.2% after 1.5 years for exposed pulps.
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Description
Explore the latest advancements in endodontics focusing on vital pulp therapy and regeneration. Learn about challenges in treating immature non-vital teeth and the revascularization approach to address pulpal necrosis. This quiz delves into the evolving techniques in endodontic treatment.
