Chapter 54 Dental Assisting Fill-In-The-Blank

Hemisection

The surgical separtion of a multi-rooted tooth through the furcation area is a

Palpation

Is an examination technique of the soft tissues in which the examiners hand or fingertips are used

Root Amputation

Is the removal of one or more roots without removal of the crown of the tooth

Direct Pulp Cap

Is the application of calcium hydration to a cavity preparation that has an exposed or a nearly exposed dental pulp

Perforation

To break through and extend beyond the apex of the root

Periradicular

Nerves, blood vessels, and tissue that surround the root of a tooth are

Pulpotomy

Is the removal of a vital pulp from the coronal portion of a tooth

Pulpitis

Is inflammation of the dental pulp

Retrograde Restoration

A small restoration placed at the apex of a root is a

Endodontist

A dentist who specializes in the prevention, diagnosis, and treatment of the dental pulp and periradicular tissues is a

Reversible Pulpitis

Occurs when there is a form of pulpal inflammation but the pulp may be salvageable

Apical Curettage

Is the surgical removal of infections material surrounding the apex of a root

Control Tooth

Is a healthy tooth used as a standard to compare questionable teeth of similar size and structure during pulp vitality testing

Abscess

Is a localized accumulation of pus in a cavity formed by tissue disintegration

Percussion

Is an examination technique that involves tapping on the incisal or occlusal surface of a tooth to determine vitality

Gutta-Percha

Is a plastic type of filling material used in root canal therapy

Indirect Pulp Cap

Is the placement of calcium hydroxide over a particularly exposed pulp

Nonvital

Means not living

Debridement

Is completed to remove or clean out pulpal canal

Irreversible pulpitis

Infectious condition in which the pulp is incapable of healing, requires root canal therapy

Acute pain

pain that is felt suddenly from injury, disease, trauma, or surgery, has short and relatively severe course

Apicoectomy

Surgical removal of the apex of the root and infection surrounding the area

Chronic pain

Pertaining to disease symptoms that persist over a long time

Obturation

Process of filling a root canal

Periodontal abscess

An inflammatory reaction to bacteria trapped in the periodontal sulcus

Periradicular abscess

An inflammatory reaction to pulpal infection

Periradicular cyst

A cyst that develops at or near the root of a necrotic tooth

Pulpectomy

Complete removal of vital pulp from a tooth

Periradicular tissues are

Tissues that surround the tooth of a tooth

What specialist is qualified to perform root canal therapy?

Endodontist

What dental emergency can result if bacteria reach the nerves and blood vessels of a tooth?

Abscess

Is pain a subjective or objective component of a diagnosis?

Subjective

Tooth #5 is being considered for possible root canal therapy. What would be used as a control tooth?

#12

When a dentist taps on a tooth, what diagnostic test is being performed?

Percussion

What type of radiograph would be exposed during the course of root canal therapy?

Periapical

The diagnosis of inflamed pulp tissues is

Pulpitis

Another term for necrotic is

dead and nonvital

The dental material selected for a pulp cap is

Calcium hydroxide

What portion of the pulp would the dentist remove in a pulpotomy?

The coronal portion of the tooth

What instrument has tiny projections and is used to remove pulp tissue?

Endo broach

What type of file would be selected to enlarge a pupal canal?

Hedstrom

A rubber stopper is placed on an endo file to

Prevent perforation and to maintain the correct measurement of the canal

to obturate means to

fill a pulpal canal

The irrigation solution recommended during root canal therapy is

Diluted sodium hypochlorite

The dental material commonly selected for obturation of a canal is

Gutta-Percha

The type of moisture control recommended by the ADA for root canal therapy is

Dental rubber dam

What surface of a posterior tooth would the dentist enter with a rotary but when opening a canal for root canal therapy?

Occlusal

Is a surgical removal procedure that involves the removal of the apex of a root

Apicoectomy

What causes pulpal damage?

Physical irritation or trauma

What are the symptoms of pulpal damage?

Pain while chewing, thermal sensitivity, facial swelling, fever, gum tenderness

Endodontic diagnosis is an examination that consists of

Subjective and objective examination

Subjective examination

Symptoms/Problems described by the patient

Objective examination

Endodontist evaluates the status of the tooth and surrounding tissues

What are 5 endodontic tests?

Palpación, percussion, thermal sensitivity, electric pulp test, radiograph imaging

What is the order of the radiographs in a root canal procedure?

Initial(diagnosis), working length, final instrumentation, completion, recall

What is the purpose for pulp capping?

To save the tooth

What are the diagnostic conclusions?

Reversible/irreversible pulpitis, periradicular/periodontal abscess, periradicular cyst

What are the endodontic procedures?

Direct/Indirect pulp capping, root canal therapy, pulpotomy/apexogenesis, pulpectomy/apexification

What are different types of irrigating solutions?

Hydrogen peroxide, diluted sodium hypochlorite, saline water, alcohol, distilled water

If root canal therapy wasn't successful what surgical endodontic techniques would you use to save the tooth from extraction?

Apicoectomy, apical curettage, retrograde restoration, hemisection, root amputation

Apexogenesis

The process of performing a pulpotomy on an adult tooth with the goal of apex formation

Apexification

The treatment of the apex of the root canal in a tooth that is necrotic

What are endo files used for?

To find the working length and to enlarge the canal

infiltration anesthesia

injection of a local anesthetic directly into the tissue on maxillary arch

nerve block anesthesia

an injection made into a nerve to block the conduction of impulse on mandibular arch

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