Root Perforation Management in Endodontics

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What is the main restorative management required for a perforation created during endodontic treatment?

Perform a surgical handpiece technique

Seal and stabilize the defect with a restorative material (correct)

Utilize cotton pellet for repair

Use long-acting local anesthesia

In which situation is a repair internal, with material being extruded through the defect?

For resorption perforations (correct)

During periapical exposure procedures

With ultrasonic instruments for apex preparation

When using long-acting local anesthesia

What is an important factor to consider in the location of a perforation for surgical repair?

Utilizing infiltration PDL injection

Use of cotton pellet for repair

Reducing with burs to prepare a cavity

Readily visualizing the surgical area (correct)

Which material is NOT recommended for repair of a perforation according to the text?

Cotton pellet Signup and view all the answers

For a perforation involving post or other material perforating the root, what should be done before restoration?

Remove excess with a bur or sharp instruments Signup and view all the answers

What is the poorest prognosis in terms of repair according to the text?

Cervical 3rd repair Signup and view all the answers

What is a contraindication for periapical surgery?

Unidentified cause of RCT failure Signup and view all the answers

What is the purpose of the subperiosteal flap in surgical procedures?

To provide good access and proper healing Signup and view all the answers

Which antibiotic is commonly used as a prophylactic measure prior to a surgical procedure?

Penicillin V potassium Signup and view all the answers

What is the main function of the ultrasonic instruments in apex preparation?

To prepare the apex of the tooth for surgery Signup and view all the answers

What can be a consequence of improper surgical handpiece technique during periapical exposure procedures?

Mental nerve damage Signup and view all the answers

When is an infiltration PDL injection typically administered?

Prior to periapical surgery for anesthesia Signup and view all the answers

What is the purpose of using a cotton pellet with long-acting local anesthesia during curettage procedures?

To minimize hemorrhage Signup and view all the answers

Which type of incision is preferred for periapical exposure procedures to gain access and visibility around the apex?

Full Mucoperiosteal Incision Signup and view all the answers

What is the main advantage of using a surgical handpiece without pressurized air in root end resection procedures?

Reduced hemorrhage Signup and view all the answers

In which situation is an infiltration PDL or intraosseous injection administered during dental procedures?

For sensitive curettage of inflammatory tissue Signup and view all the answers

What is the recommended technique for flap design to avoid incising over a bony defect and provide better access and visibility?

Submarginal flap Signup and view all the answers

Why should a surgical handpiece be used without pressurized air in root end resection?

To minimize hemorrhage and improve visibility Signup and view all the answers

Which type of incision involves one or two vertical releasing incisions for triangular or rectangular flap creation?

Vertical Releasing Incision Signup and view all the answers

What is the main purpose of using an infiltration PDL or intraosseous injection in dental treatment?

For sensitive curettage of inflammatory tissue Signup and view all the answers

What is the primary role of a cotton pellet when used with long-acting local anesthesia?

Minimizing hemorrhage during curettage Signup and view all the answers

Which type of flap design provides better access and visibility while reducing the risk of incising over bony defects?

Submarginal flap design Signup and view all the answers