Root Perforation Management in Endodontics
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Questions and Answers

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?

<p>Cotton pellet (D)</p> Signup and view all the answers

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

<p>Remove excess with a bur or sharp instruments (C)</p> Signup and view all the answers

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

<p>Cervical 3rd repair (C)</p> Signup and view all the answers

What is a contraindication for periapical surgery?

<p>Unidentified cause of RCT failure (A)</p> Signup and view all the answers

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

<p>To provide good access and proper healing (D)</p> Signup and view all the answers

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

<p>Penicillin V potassium (B)</p> Signup and view all the answers

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

<p>To prepare the apex of the tooth for surgery (D)</p> Signup and view all the answers

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

<p>Mental nerve damage (D)</p> Signup and view all the answers

When is an infiltration PDL injection typically administered?

<p>Prior to periapical surgery for anesthesia (A)</p> Signup and view all the answers

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

<p>To minimize hemorrhage (B)</p> Signup and view all the answers

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

<p>Full Mucoperiosteal Incision (B)</p> Signup and view all the answers

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

<p>Reduced hemorrhage (D)</p> Signup and view all the answers

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

<p>For sensitive curettage of inflammatory tissue (A)</p> 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?

<p>Submarginal flap (C)</p> Signup and view all the answers

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

<p>To minimize hemorrhage and improve visibility (D)</p> Signup and view all the answers

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

<p>Vertical Releasing Incision (B)</p> Signup and view all the answers

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

<p>For sensitive curettage of inflammatory tissue (A)</p> Signup and view all the answers

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

<p>Minimizing hemorrhage during curettage (B)</p> 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?

<p>Submarginal flap design (B)</p> Signup and view all the answers

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