Root Canal Preparation Quiz
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Questions and Answers

Which of the following is NOT one of the biological objectives of root canal preparation?

  • Completing the procedure in one appointment
  • Removal of organic debris
  • Creating a larger opening for additional light (correct)
  • Avoiding pushing necrotic debris beyond the apical foramen

The primary purpose of preparing a glide path is to ensure easy access to the middle parts of the root canal.

False (B)

What is the first step in the mechanical root canal preparation process?

Preparation of the coronal access cavity

The __________ constriction is also referred to as the anatomic apex.

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

Match the following parts of the mechanical preparation process with their descriptions:

<p>Preparation of the coronal access cavity = Initial entry into the tooth Identifying root canal orifices = Locating the openings of the canals Preparing a glide path = Facilitating access to the apical foramen Preparing the middle and apical parts of the root canal = Final shaping of the canal</p> Signup and view all the answers

What is the correct order of steps in root canal preparation?

<p>Shaping then cleaning (B)</p> Signup and view all the answers

Maintaining the apical foramen position is an objective of root canal preparation.

<p>True (A)</p> Signup and view all the answers

What are the primary objectives of cleaning and shaping in root canal preparation?

<p>Remove infected tissue, provide access for disinfecting irrigants, create space for medicaments, and maintain integrity of radicular structures.</p> Signup and view all the answers

The preparation should form a continuously tapering ________ from the apex to the access cavity.

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

Match the following mechanical objectives with their descriptions:

<p>Continuously tapering funnel = The preparation should form a continuous taper from the apex to the access cavity. Narrowing cross-sectional diameter = The diameter should consistently narrow as it approaches the apex. Following the original canal shape = The preparation should closely mimic the shape of the original canal. Maintaining apical foramen position = The apical foramen should remain in its original position.</p> Signup and view all the answers

What is one of the primary goals when preparing the pulp chamber?

<p>To clean all necrotic or vital tissue (B)</p> Signup and view all the answers

Mechanical cleaning of the pulp chamber is unnecessary if sodium hypochlorite is used.

<p>False (B)</p> Signup and view all the answers

What can cause difficulties in locating and preparing root canal orifices?

<p>Calcifications and pulp stones</p> Signup and view all the answers

Calcification is usually incomplete and limited to the _______ part(s) of the root canal.

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

Match the following indicators with their meanings regarding root canal calcification:

<p>A canal space detected on radiograph = Calcification is incomplete File tip engaging inside the canal = Calcification is incomplete Electronic signal during root canal length determination = Calcification is incomplete Presence of an apical lesion = Calcification is incomplete Bubbles observed during irrigation = Calcification is incomplete Pain upon instrumentation = Calcification is incomplete</p> Signup and view all the answers

What does the Law of Centrality state regarding the pulp chamber?

<p>The pulp chamber floor is at the center of the tooth at the level of the Cemento-Enamel Junction. (B)</p> Signup and view all the answers

The Law of Color Change indicates that the color of the pulp chamber floor is lighter than the walls.

<p>False (B)</p> Signup and view all the answers

According to the Laws of Symmetry, how are the orifices of the canals positioned relative to the pulp chamber floor?

<p>Equidistant from a mesial-distal line and on a perpendicular line.</p> Signup and view all the answers

The distance from the external surface of the clinical crown to the wall of the pulp chamber is the same throughout the circumference of the tooth at the level of the _____

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

Match the laws to their descriptions:

<p>Law of Centrality = Pulp chamber floor is centered at the CEJ. Law of Concentricity = Pulp chamber walls reflect external tooth surface anatomy. Law of Color Change = Pulp chamber floor color is darker than walls. Laws of Orifice Location = Orifices are located at junctions of walls and floor.</p> Signup and view all the answers

What is the purpose of using a Dental Explorer in endodontics?

<p>To locate root canal orifices (D)</p> Signup and view all the answers

Debris on the pulp chamber floor does not affect the location of canal orifices.

<p>False (B)</p> Signup and view all the answers

What technique can be used to reveal the orifice of root canals?

<p>Chipping away dentinal shavings</p> Signup and view all the answers

The orifices of the root canals are located at the termini of the root developmental ________ lines.

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

Match the tools with their purposes in endodontics:

<p>Dental Explorer = Locating root canal orifices Dyes = Enhancing visibility of structures Hypochlorite = Cleansing and bleaching Endodontic Explorer = Shaving dentinal debris</p> Signup and view all the answers

What does the presence of remaining dye in the access cavity indicate?

<p>Location of a previous undiscovered opening (D)</p> Signup and view all the answers

Sodium hypochlorite is applied to the access cavity floor to search for hidden root canals using a visual bubble test.

<p>True (A)</p> Signup and view all the answers

What chemical is used for the bubble test to identify hidden root canals?

<p>Sodium hypochlorite</p> Signup and view all the answers

A drop of sodium hypochlorite applied to the access cavity shows bubbles caused by the disintegration of _______ tissue.

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

Match the following terms with their definitions:

<p>Methylene blue = A dye used to identify openings in the cavity Sodium hypochlorite = A chemical used for the bubble test Champagne test = Observation of bubbles from remaining pulp tissue Access cavity = The entry point for cleaning the root canal</p> Signup and view all the answers

What is one of the main benefits of coronal flaring in root canal preparation?

<p>It reduces friction and allows better control of instruments. (C)</p> Signup and view all the answers

Coronal flaring can allow the application of large amounts of irrigant early in the preparation process.

<p>True (A)</p> Signup and view all the answers

Name one type of instrument used for coronal flaring.

<p>Gates-Glidden</p> Signup and view all the answers

Coronal flaring helps to reduce the degree of the __________.

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

Match the following instruments with their descriptions:

<p>Gates-Glidden = Type of drill used for coronal flaring Peeso Drills = Used for enlarging the canal Orifice Openers = Facilitates access to the canal Peeso Reamers = Used to prepare the coronal portion of the canal</p> Signup and view all the answers

Which of the following is a characteristic of K-files used in glide path preparation?

<p>They can be used in a watch-winding motion. (A)</p> Signup and view all the answers

C+ files have a uniform taper along their entire length.

<p>False (B)</p> Signup and view all the answers

What is the primary advantage of using special stainless steel pathfinding instruments?

<p>Improved negotiation of narrow and calcified canals.</p> Signup and view all the answers

What is the primary advantage of the non-cutting, rounded tip design of PathFiles?

<p>It prevents ledges and gaps. (A)</p> Signup and view all the answers

The __________ of conventional ISO size instruments leads to deformation when penetrating narrow canals.

<p>low resistance to buckling</p> Signup and view all the answers

PathFiles have a square cross-section to reduce torsional stress.

<p>True (A)</p> Signup and view all the answers

What materials are PathFiles predominantly made from?

<p>Nickel-titanium alloy</p> Signup and view all the answers

The tip diameters of the PathFiles are 0.13 mm, 0.16 mm, and ________.

<p>0.19 mm</p> Signup and view all the answers

Match the PathFile with its tip diameter:

<p>Pathfile 0.13mm = Smallest tip diameter Pathfile 0.16mm = Medium tip diameter Pathfile 0.19mm = Largest tip diameter</p> Signup and view all the answers

What is the primary action involved in the filing motion during root canal preparation?

<p>A combination of pushing and pulling (C)</p> Signup and view all the answers

The reaming motion is performed counterclockwise to create a round cross-section of the root canal.

<p>False (B)</p> Signup and view all the answers

What type of motion is considered the most efficient for cutting dentin?

<p>Linear motion</p> Signup and view all the answers

The ____ is the best file for enlarging the coronal two-thirds of the canal.

<p>H-file</p> Signup and view all the answers

Match the following motions with their descriptions:

<p>Filing Motion = Linear motion using push and pull Reaming Motion = Rotational motion creating a round cross-section H-file = Best for enlarging coronal two-thirds Instrument Fracture Risk = Increased with reaming motion</p> Signup and view all the answers

Flashcards

Root Canal Preparation

The process of removing infected tissue and creating a space for filling the root canal.

Shaping then Cleaning

The sequence of first shaping the root canal followed by cleaning it, allowing for better access and removal of infected tissue.

Enlarging Canals

A crucial step in root canal treatment where the root canal is enlarged to allow for cleaning and filling.

Apical Foramen

The point at the tip of the root canal where it connects with the surrounding tissue.

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Schilder's Principles

A set of guidelines for shaping the root canal, ensuring proper cleaning and filling.

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Avoiding Debris Push-Out

The main goal is to remove all infected tissue and debris from the root canal without pushing it beyond the tooth's tip.

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Glide Path

Creating a clear path from the tooth's crown to the tip of the root.

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Coronal Access Cavity

The widest part of a tooth, the area where the crown meets the root.

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Coronal Flaring

The process of making the space larger towards the crown of the tooth, allowing for easier access to the root canals.

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Pulp chamber preparation

The initial step in preparing the pulp chamber involves thoroughly cleaning it of any necrotic or vital tissue.

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Calcification in root canals

A common obstacle in cleaning the pulp chamber are calcifications, which are mineral deposits that can obstruct the canal.

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Coronal calcifications

Deposits of secondary and tertiary dentin lead to narrowing of the pulp chamber and coronal calcifications, creating a challenge for endodontic therapy.

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Detecting calcification

The presence of calcifications can be detected if the tip of a file can be engaged inside the canal or if an apical lesion is present.

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Complete canal calcification

Although calcification can be widespread in older patients, complete calcification is rare and usually occurs following dental trauma.

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Law of Centrality

The floor of the pulp chamber is always located in the center of the tooth at the level of the Cemento-Enamel Junction (CEJ).

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Law of Concentricity

The walls of the pulp chamber are always concentrically aligned with the external surface of the tooth at the level of the CEJ.

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Law of the CEJ

The distance from the tooth's outer surface to the pulp chamber wall is the same all around at the CEJ.

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Law of Symmetry (part 1)

For most teeth, the root canal openings are evenly spaced from a line down the middle of the pulp chamber floor.

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Law of Symmetry (part 2)

For most teeth, the root canal openings are positioned on a line perpendicular to the middle of the pulp chamber floor.

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Root Canal Orifices

The openings of the root canals, found at the end points of the lines where different parts of the tooth's root merged during development.

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Debris Removal (Dental Explorer)

Removing debris that blocks the root canal openings, allowing for better access during treatment.

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Shaving Removal (Dental Explorer)

Using a sharp explorer to gently scrape away small pieces of tooth (dentin) to reveal the hidden root canal orifice.

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Dyes for Root Canal Treatment

Colors used to make the root canal openings visible, aiding in identification and access during treatment.

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Hypochlorite in Root Canal Treatment

A bleaching agent that can help clean the root canal and make it easier to find the orifice.

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Dye Test

A technique to locate hidden root canals by applying a dye like Methylene blue, then washing and observing for remaining dye, indicating the opening's location.

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Champagne Test

A test using sodium hypochlorite to detect hidden root canals by observing the formation of bubbles from the disintegration of remaining pulp tissue.

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Sodium Hypochlorite

Sodium hypochlorite is a chemical used in dentistry to disinfect root canals and dissolve pulp tissue.

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Pulp Tissue Disintegration

The remaining pulp tissue in a root canal that is broken down by sodium hypochlorite during the champagne test.

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Access Cavity

The access cavity is the opening created in a tooth to reach the root canals for treatment.

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Orifice Opener

A tool used to enlarge the root canal opening, especially in the coronal region.

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Gates-Glidden Drill

A type of orifice opener used for coronal flaring.

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Peeso Reamers

Another type of orifice opener used for coronal flaring.

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Advantages of Coronal Flaring

This technique allows for better insertion of instruments, reduces friction, and facilitates irrigant flow.

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Pathfinding Instruments

Special instruments used for creating a smooth, safe path to the apical foramen, especially in narrow or calcified canals.

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Glide Path Preparation

A smooth, unobstructed channel created from the tooth's crown to the apical foramen, allowing for safe and efficient instrument insertion.

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C+ Files

A type of pathfinding instrument characterized by a square cross-section and a tapered tip, used for negotiating narrow and calcified canals.

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K-Files

A type of pathfinding instrument used for glide path preparation, often in a watchwinding motion with slight apical pressure.

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Instrument Buckling

The tendency for a thin instrument to bend under pressure, potentially breaking or getting stuck in the canal.

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What are PathFiles?

PathFiles are specifically designed for shaping root canals, eliminating jagged edges and creating a smooth flow of instruments. They consist of three instruments with varying tip diameters (0.13 mm, 0.16 mm, and 0.19 mm) for progressive preparation.

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What is the tip design of PathFiles?

PathFiles are designed with a rounded tip instead of a sharp one, which reduces the risk of creating ledges or gaps in the canal, leading to a cleaner and more efficient preparation.

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Why is the cross-section of PathFiles square?

The square cross-section of PathFiles makes them resistant to twisting and breakage, ensuring stability during the shaping process.

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What material are PathFiles made from?

PathFiles are made from nickel-titanium alloy, a flexible material that allows them to bend and navigate root canals with ease. This material also helps prevent instrument breakage, especially when navigating complex canal shapes.

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What is the significance of PathFile's taper?

Each PathFile has a slight taper, meaning the diameter gradually increases towards the tip, allowing for easier progression without needing excessive pressure. This helps prevent the instrument from getting stuck or breaking.

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Filing Motion

A linear motion used to enlarge the root canal, primarily in the coronal two-thirds, using a push and pull action. It's efficient for cutting dentin and uses various files, with the H-file being particularly well-suited.

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Reaming Motion

This motion uses a clockwise rotation to enlarge the root canal, creating a round cross-section. While it can be efficient, it increases the risk of instrument fracture.

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Basic Instrumentation Motions

The fundamental motions used to clean and shape the root canal, using linear or rotational techniques. These include filing and reaming.

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Root Canal Instrumentation

A series of motions used to enlarge the root canal for better cleaning and filling. This process involves creating either a linear or rotational motion.

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Coronal Canal Enlargement

The process of enlarging the canal's coronal two-thirds using a linear motion. This focuses on efficiency in cutting dentin and uses various files.

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