Surgical Endodontics: Treatment Approaches
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Questions and Answers

What is one of the functions of CBCT examination in treatment planning?

  • Designing a flap for apical surgery
  • Analyzing the anatomy of the tooth
  • Measuring the size of the lesion
  • Detecting nerve proximity to avoid nerve injury (correct)
  • What is the purpose of designing a flap during apical surgery?

  • To minimize exposure of the surgical site
  • To avoid including at least one tooth on either side of the intended tooth
  • To design an incision over bony defects
  • To maintain an adequate blood supply to the reflected tissue (correct)
  • Why should incisions over bony defects be avoided during flap design?

  • They may result in flap ischemia
  • They may cause postsurgical soft tissue fenestrations or nonunion of the incision (correct)
  • They may compromise visibility
  • They may cause delayed healing
  • What should be included in the flap design to ensure good extension?

    <p>At least one tooth on either side of the intended tooth</p> Signup and view all the answers

    Why should acute angles in the flap be avoided?

    <p>They are difficult to reposition and suture and may become ischemic and slough</p> Signup and view all the answers

    Why is it important to include periosteum in the incisions and reflections?

    <p>To avoid hemorrhage and ensure visibility</p> Signup and view all the answers

    What is the primary goal of endodontic surgery?

    <p>To remove periapical lesions by surgery and curettage</p> Signup and view all the answers

    What is an indication for apical surgery?

    <p>Failing root canal treatments with a post and core</p> Signup and view all the answers

    What is the sequence of treatment for periapical lesions?

    <p>Endo treatment -&gt; periapical lesion -&gt; surgical endodontics</p> Signup and view all the answers

    What is the purpose of curettage in endodontic surgery?

    <p>To remove periapical lesions</p> Signup and view all the answers

    What is a procedural accident that may indicate apical surgery?

    <p>All of the above</p> Signup and view all the answers

    What is the primary difference between surgical endodontics and conventional endodontic treatment?

    <p>Surgical endodontics is used to treat periapical lesions surgically</p> Signup and view all the answers

    What is the main difference between the full mucoperiosteal flap and the submarginal curved flap?

    <p>The presence of a frenum</p> Signup and view all the answers

    What is an advantage of the full mucoperiosteal flap?

    <p>Permits periodontal curettage and root planning</p> Signup and view all the answers

    What is the main reason for apical surgery in cases with underfilling in calcified canal?

    <p>Impossible to prepare the canal and remove the debris</p> Signup and view all the answers

    What is the primary reason for not splitting the interdental papilla during apical surgery?

    <p>To avoid scaring and laceration during healing</p> Signup and view all the answers

    What is a disadvantage of the full mucoperiosteal flap?

    <p>Difficulty in replacing the free gingival margin</p> Signup and view all the answers

    What is the characteristic of resin sealer and GI sealer?

    <p>Make chemical bond with tooth structure</p> Signup and view all the answers

    What is the main purpose of extending vertical incisions during apical surgery?

    <p>To enable the retractor to rest on bone</p> Signup and view all the answers

    What is the primary indication for surgical endodontics in cases of anatomic complexity of the root canal system?

    <p>All of the above</p> Signup and view all the answers

    What is the main purpose of the triangular and trapezoidal flaps?

    <p>To treat maxillary anterior teeth with crowns</p> Signup and view all the answers

    What is the characteristic of some type of cysts?

    <p>All of the above</p> Signup and view all the answers

    What is an advantage of the triangular and trapezoidal flaps?

    <p>Minimal probing depths and good periodontal health</p> Signup and view all the answers

    What type of flap design is generally not indicated or used due to its many disadvantages?

    <p>Submarginal curved flap</p> Signup and view all the answers

    What is an advantage of the submarginal curved flap?

    <p>It is simple and easily reflected</p> Signup and view all the answers

    What is a common feature of the triangular and trapezoidal flaps?

    <p>Horizontal incision in the attached gingiva</p> Signup and view all the answers

    What percentage of cysts can be diagnosed by histopathology?

    <p>90%</p> Signup and view all the answers

    What is the primary treatment option for patients who come with pain after endo treatment?

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

    What is a limitation of the submarginal curved flap?

    <p>It is limited by the presence of frenum, muscle attachments, or bony eminences</p> Signup and view all the answers

    What is the primary contraindication for apical surgery?

    <p>Tooth mobility with periapical lesion</p> Signup and view all the answers

    What is a common complication of the submarginal curved flap?

    <p>Tearing of the incision corners</p> Signup and view all the answers

    What is the condition that affects immunity in patients who require surgery consultation?

    <p>Leukemia or neutropenia</p> Signup and view all the answers

    What is the primary consideration for patients who have undergone radiation treatment of the face?

    <p>Both A and B</p> Signup and view all the answers

    What is the primary consideration for a patient who does not desire surgery?

    <p>Mental or psychological status</p> Signup and view all the answers

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