Endo III Midterm

B. low

Which level of case difficulty indicates routine complexity (uncomplicated) and achieving a favorable treatment outcome should be attainable by a competent practitioner with limited experience?

A. high

B. low

C. moderate

D. impossible

C. moderate

Which level of case difficulty is complicated, exhibiting one or two factors listed in this category and achieving a favorable treatment outcome may be challenging for a competent and experienced practitioner?

A. high

B. low

C. moderate

D. impossible

A. high

Which level of case difficulty is exceptionally complicated, exhibiting three or more factors listed in the moderate category or at least one in this category and achieving a favorable treatment outcome may be challenging for even the most experienced practitioner with an extensive history of favorable outcomes?

A. high

B. low

C. moderate

D. impossible

B. low

Which level of case difficulty would ASA class I or II fall under?

A. high

B. low

C. moderate

D. impossible

B. low

Which level of case difficulty would no minimum pain or swelling fall under?

A. high

B. low

C. moderate

D. impossible

C. moderate

Which level of case difficulty would ASA class III fall under?

A. high

B. low

C. moderate

D. impossible

C. moderate

Which level of case difficulty would vasoconstrictor intolerance fall under?

A. high

B. low

C. moderate

D. impossible

A. high

Which level of case difficulty would ASA class IV fall under?

A. high

B. low

C. moderate

D. impossible

A. high

Which level of case difficulty would an extreme gag reflex or uncooperative patients fall under?

A. high

B. low

C. moderate

D. impossible

C. periodontal health

Allof the following medical findings influence endodontic treatment planning and may require changes to the procedure, except?

A. cardiovascular disease

B. diabetes

C. periodontal health

D. pregnancy

B. 2nd

Which trimester of pregnancy is the safest for routine dental procedures?

A. 1st

B. 2nd

C. 3rd

D. any is fine

D. all of the above influence planning

Which of the following medical findings would not influence and require changes to endodontic treatment planning?

A. viral infections like AIDS and Herpes

B. sickle cell anemia

C. MRONJ

D. all of the above influence planning

D. all of the above influence planning

Which of the following medical findings would not influence and require changes to endodontic treatment planning?

A. malignancy and current chemo treatment

B. end-stage renal disease

C. prosthetic implants

D. all of the above influence planning

false

T/F. Pscyhiatric and behavioral disorders such as anxiety, do not influence endodontic treatment planning.

C. rubber dam

What type of isolation is the standard of care for RCT?

A. cotton rolls

B. isovac

C. rubber dam

D. no isolation needed

B. low

Which level of case difficulty are anteriors and premolars generally considered?

A. high

B. low

C. moderate

D. impossible

B. low

Which level of case difficulty has visible canals and chambers with all vital structures 5+ mm away from the apex/apices?

A. high

B. low

C. moderate

D. impossible

A. high

Which level of case difficulty are 2nd and 3rd molars usually considered?

A. high

B. low

C. moderate

D. impossible

A. high

Which level of case difficulty are C-shaped morphologies and long teeth (>25 mm) considered?

A. high

B. low

C. moderate

D. impossible

B. keratocystic odontogenic tumor

What is this an image of?

A. fracture

B. keratocystic odontogenic tumor

C. periapical cemento-osseous dysplasia

D. girl this ain't no radiology class

C. periapical cemento-osseous dysplasia

What is this an image of?

A. fracture

B. keratocystic odontogenic tumor

C. periapical cemento-osseous dysplasia

D. girl this ain't no radiology class

A. non-restorable

If the fracture is inside the canal and below bone level, the tooth is likely

A. non-restorable

B. restorable

C. undetermined

D. not a real tooth

B. lingual

Radix entomolaris is the third root on the

A. buccal

B. lingual

C. mesial

D. distal

A. buccal

Radix paramolaris is the third root on the

A. buccal

B. lingual

C. mesial

D. distal

A. prior to starting NSRCT

When should a restorative treatment plan be in place in reference to NSRCT?

A. prior to starting NSRCT

B. during NSRCT

C. after NSRCT is completed

D. never - NSRCT doesn't require any further restoration

D. 2 PA and 1 BWX

What radiograph(s) obtained within 1 month are required when requesting an endo consult? (Hahn flashbacks)

A. a pano

B. 4 BWX

C. 1 PA

D. 2 PA and 1 BWX

false

T/F. Endo testing isn't required before a deep caries restoration or crown prep is started - only if you hit the pulp.

C. tuberculosis

Which of the following non-odontogenic conditions can cause radiolucencies in the jawbone, oral ulcers, loosening of teeth, and possible TMJ involvement?

A. sickle cell anemia

B. trigeminal neuralgia

C. tuberculosis

D. uncontrolled diabetes

D. uncontrolled diabetes

Which of the following non-odontogenic conditions can cause hyposalivation, halitosis, and periodontitis?

A. sickle cell anemia

B. trigeminal neuralgia

C. tuberculosis

D. uncontrolled diabetes

A. sickle cell anemia

Which of the following non-odontogenic conditions can cause pain, swelling, and numbness of the jaws with unexplained mobility of the teeth?

A. sickle cell anemia

B. trigeminal neuralgia

C. tuberculosis

D. uncontrolled diabetes

B. trigeminal neuralgia

Which of the following non-odontogenic conditions can cause spontaneous episodes of severe shooting or jabbing pain that may feel like an electric shock when touching the face, chewing, brushing teeth, or speaking?

A. sickle cell anemia

B. trigeminal neuralgia

C. tuberculosis

D. uncontrolled diabetes

A. cancer and growth in the jaws

Which pathologic disease can lead to oral pain, tooth mobility, and swelling in the jaw?

A. cancer and growth in the jaws

B. cardiovascular event

C. salivary glands

D. sinus infections

D. sinus infections

Which pathologic disease can cause soreness in the maxillary posterior teeth?

A. cancer and growth in the jaws

B. cardiovascular event

C. salivary glands

D. sinus infections

C. salivary glands

Which pathologic disease can cause swelling and discomfort when eating that resolves shortly after eating and may involve the presence of stones blocking drainage?

A. cancer and growth in the jaws

B. cardiovascular event

C. salivary glands

D. sinus infections

C. reproduce the chief concern

Prior to making a diagnosis, what should the clinician do?

A. give the patient treatment plan options

B. NSRCT

C. reproduce the chief concern

D. refer the patient out

A. palatal tissues

Which of the following structures is not usually a source for primary odontogenic pain?

A. palatal tissues

B. periapical tissues

C. pulpal-dentin complex

D. all of the above are primary sources

B. C fibers

Which of the following are the primary nociceptors of the pulp that respond to inflammation and are slow-conducting with a high threshold?

A. A-delta fibers

B. C fibers

C. mechanoreceptors

D. please don't make me go back to endo I

B. C fibers

Which of the following mediates pulpal pain and causes dull, aching, throbbing pain?

A. A-delta fibers

B. C fibers

C. mechanoreceptors

D. please don't make me go back to endo I

A. A-delta fibers

Which of the following mediates dentinal pain via hydrodynamic movement of fluid within the dentinal tubules and causes more sharp pain?

A. A-delta fibers

B. C fibers

C. mechanoreceptors

D. please don't make me go back to endo I

C. mechanoreceptors

Which of the following are found in the PDL, most densely concentrated in the apical 1/3

A. A-delta fibers

B. C fibers

C. mechanoreceptors

D. please don't make me go back to endo I

A. periapical/periradicular tissue pain

Which of the following is easier to localize?

A. periapical/periradicular tissue pain

B. pulpal pain

C. both are easy to localize

D. neither are easy to localize

D. pulpal necrosis

Which of the following diagnoses is not able to be treated with vital pulp therapy?

A. normal pulp

B. reversible pulpitis

C. irreversible pulpitis

D. pulpal necrosis

A. circumferentially and gradually

How does edema spread through the tooth?

A. circumferentially and gradually

B. quickly via strangulation

C. it does not spread because hydroxyapatite structures have no give

D. D2 PTSD!! D2 PTSD!!

C. indirect pulp cap

Which type of vital pulp therapy involves placing dental material close to, but not directly onto the pulp?

A. complete pulpotomy

B. direct pulp cap

C. indirect pulp cap

D. partial pulpotomy/Cvek pulpotomy

B. direct pulp cap

Which type of vital pulp therapy involves placing dental material right onto the exposed pulp?

A. complete pulpotomy

B. direct pulp cap

C. indirect pulp cap

D. partial pulpotomy/Cvek pulpotomy

D. partial pulpotomy/Cvek pulpotomy

Which type of vital pulp therapy involves the removal of a small diseased portion of vital pulp to preserve the remaining coronal and radicular pulp tissue?

A. complete pulpotomy

B. direct pulp cap

C. indirect pulp cap

D. partial pulpotomy/Cvek pulpotomy

A. complete pulpotomy

Which type of vital pulp therapy involves the removal of the entire coronal portion of a vital pulp as a means to preserve vitality of the remaining radicular portion?

A. complete pulpotomy

B. direct pulp cap

C. indirect pulp cap

D. partial pulpotomy/Cvek pulpotomy

B. calcium silicate cements

Which of the following materials has a higher success rate of VPT?

A. calcium hydroxide

B. calcium silicate cements

C. glass ionomer cements

D. resin-based materials

B. calcium silicate cements

What type of material is MTA and biodentine considered?

A. calcium hydroxide

B. calcium silicate cements

C. glass ionomer cements

D. resin-based materials

B. hydroxyapatite breakdown

Which of the following is not a correct function of calcium silicate cements?

A. antimicrobial effects

B. hydroxyapitate breakdown

C. induction of pulp and periodontal cell differentiation and mineralization

D. stimulation of mineralization

C. indirect pulp cap

In which of the following procedures is Lime-Lite used?

A. complete pulpotomy

B. direct pulp cap

C. indirect pulp cap

D. partial pulpotomy/Cvek pulpotomy

C. dig it all out with a full NSRCT

What should you do if bleeding does not occur or cannot be controlled after a complete pulpotomy?

A. slap some biodentine on there and call it a day

B. seal that bad boy up with some lime light

C. dig it all out with a full NSRCT

D. extract the tooth and give up

A. use magnification

If you suspect a crack, what should you use to confirm the suspicion?

A. use magnification

B. take an x-ray/CBCT

C. use transillumination

D. all of the above can be used

C. fracture

Which of the following most accurately fits the description of major or complete disruption of enamel and/or dentin and/or cementum with segments that can be separated or unseparated?

A. occlusal wear

B. crack

C. fracture

D. root tip

B. worse

The deeper the crack, the ___ the prognosis?

A. better

B. worse

C. all cracks cause the tooth to be extracted

B. weaker

After endodontic treatment on a tooth, the tooth structure is

A. stronger

B. weaker

C. unaffected

false

T/F. It is better to remove dentin to fit a post, rather than adjust and weaken a post to fit a canal.

B. the alveolar crest

If a fracture or crack reaches and goes below ______, it is likely non-restorable and NSRCT should stop to be re-assessed.

A. the CEJ

B. the alveolar crest

C. the apex

D. all teeth are restorable

A. signs of a fracture

CBCT can be used to detect

A. signs of a fracture

B. the fracture itself

C. the prognosis of the tooth

D. all of the above

A. >2

In order to detect a fracture via CBCT, the fracture must be _____ voxel sizes.

A. >2

B. >5

C. >10

D. >20

B. a crack or fracture

In a tooth with non-vital pulp but minimal or no restorations present, what is the likely cause for the necrosis?

A. it isn't necrotic, the results where a false negative

B. a crack or fracture

C. spontaneous bone resorption

D. a viral infection

C. 11 fold

If a patient has a crack to the pulpal floor, the odds to lose the tooth increases by

A. 3 fold

B. 7 fold

C. 11 fold

D. 16 fold

D. all of the above

If a tooth is isolated, it is more likely to be

A. a cracked tooth

B. a fractured tooth

C. endo related problem

D. all of the above

B. crack

Which of the following most accurately fits the description of thin disruption of enamel and/or dentin and/or cementum with segments that are unseparated?

A. occlusal wear

B. crack

C. fracture

D. root tip

A. craze lines

Which type of crack crosses the marginal ridges, extends along the buccal and lingual surfaces, can be differentiated by transillumination, and are commonly found vertically on anterior teeth?

A. craze lines

B. fractured cusp

C. split teeth

D. vertical root fractures

E. cracked tooth

B. fractured cusp

What type of crack can be complete or incomplete, is initiated from the crown and extends subgingivally, can be mesiodistal or buccolingual, is on the cervical 1/3 of the crown or root, and is often centered around a non-supporting cusp?

A. craze lines

B. fractured cusp

C. split teeth

D. vertical root fractures

E. cracked tooth

E. cracked tooth

What type of crack is an incomplete fracture from the crown that extends subgingivally, is common in mandibular molars on nonfunctional cusps, is often mesiodistal and centered?

A. craze lines

B. fractured cusp

C. split teeth

D. vertical root fractures

E. cracked tooth

D. all of the above

Which of the following is a classic type of incomplete tooth fracture?

A. oblique

B. root

C. vertical

D. all of the above

A. running along the center of the tooth

In a vertical root fracture, the crack is

A. running along the center of the tooth

B. on the mesial marginal ridge

C. on the distal marginal ridge

D. running buccolingually

D. all of the above

Which of the following is a treatment option for an incomplete fracture?

A. adjust occlusion

B. orthodontic band and bond

C. replace a restoration/crown the tooth

D. all of the above

D. extraction

If the fracture extends onto the pulp chamber or a canal wall, what is the likely treatment?

A. full coverage crown

B. bonded full coverage amalgam

C. bonded full coverage composite

D. extraction

D. extraction

If the fractured tooth has a narrow, isolated periodontal pocket along the crack, what is the likely treatment?

A. full coverage crown

B. bonded full coverage amalgam

C. bonded full coverage composite

D. extraction

C. split teeth

What is a complete fracture initiated from the crown and extending subgingivally mesiodistally through both marginal ridges and the proximal surfaces?

A. craze lines

B. fractured cusp

C. split teeth

D. vertical root fractures

E. cracked tooth

D. extraction

What is the treatment for a split tooth?

A. full coverage crown

B. bonded full coverage amalgam

C. NSRCT

D. extraction

D. vertical root fractures

What is an incomplete or complete fracture initiated from the root at any level, usually directed buccolingually, and is a "through and through" crack with a connection between the canal and the outer root surface or PDL?

A. craze lines

B. fractured cusp

C. split teeth

D. vertical root fractures

E. cracked tooth

D. vertical root fractures

What usually presents with probing depth, narrow isolated periodontal pocket, and an isolated bony dehisence?

A. craze lines

B. fractured cusp

C. split teeth

D. vertical root fractures

E. cracked tooth

D. all of the above

Which of the following may be indicative of a VRF in an endodontically treated tooth?

A. isolated probing defect

B. J shaped lesion

C. narrow sinus tract

D. all of the above

C. Infraction

Which of the following presents with an incomplete fracture of the enamel without loss of tooth structure, non-tender on percussion, normal mobility, and positive endo ice?

A. Alveolar Fracture

B. Crown-root fracture with pulp involvement

C. Infraction

D. Root Fracture

A. none

What is the treatment for infractions?

A. none

B. pulp cap

C. NSRCT

D. extraction

B. enamel fracture

What is a fracture confined to the enamel with loss of tooth structure, presents with no percussion sensitivity, normal mobility, and positive endo ice?

A. Crown-root fracture with pulp involvement

B. Enamel fracture

C. Infraction

D. Root Fracture

A. grinding down or restoration with resin

What is the treatment for an enamel fracture?

A. grinding down or restoration with resin

B. pulpotomy

C. NSRCT

D. extraction

true

T/F. In an enamel-dentin fracture, you should take the restoration out of occlusion.

false

T/F. When endo testing a tooth with exposed pulp, you should put the endo ice directly onto the pulp.

A. pulp capping or pulpotomy

What is the first step of treatment for an enamel-dentin-pulp fracture?

A. pulp capping or pulpotomy

B. NSRCT

C. resin restoration

D. extraction

B. bio-ceramic putty or biodentine

Which of the following should you put over the exposed pulp?

A. BC liner

B. bio-ceramic putty or biodentine

C. lime-lite

D. RMGI

D. all of the above

Which of the following increases the risk of fracturing teeth?

A. class 2 malocclusion

B. an overbite

C. contact sports

D. all of the above

C. Enamel-dentin fracture

If there is no blood coming from the fractured tooth, it is likely

A. Alveolar Fracture

B. Crown-root fracture with pulp involvement

C. Enamel-dentin fracture

D. Enamel-dentin-pulp fracture

D. all of the above

Which of the following is a possible treatment option for a subosseous fracture before restoring with a crown?

A. extrude tooth surgically or orthodontically

B. crown lengthening

C. deep margin elevation

D. all of the above

C. crown-root fracture without pulp involvement

Which type of fracture involves enamel, dentin, and cementum, but not the pulp, has a tender percussion test, mobile coronal fragment, a positive endo test and can extend subosseous?

A. Alveolar Fracture

B. Crown-root fracture with pulp involvement

C. Crown-root fracture without pulp involvement

D. Infraction

A. leaving it and letting it heal on its own

Which of the following is not a treatment option for crown-root fractures?

A. leaving it and letting it heal on its own

B. fragment removal

C. surgical extrusion

D. extraction

A. crown-root fracture with pulp involvement

Which of the following is a fracture that involves enamel, dentin, and cementum with pulp exposure, has a tender percussion test, a mobile coronal fragment, and a positive endo ice test?

A. Crown-root fracture with pulp involvement

B. Crown-root fracture without pulp involvement

C. Enamel fracture

D. Enamel-dentin fracture

D. root fracture

What is a fracture confined to the root of the tooth involving cementum, dentin, and pulp, a possible mobile coronal segment, possible bleeding from the gingival sulcus, and a usually negative endo ice test?

A. Alveolar Fracture

B. Crown-root fracture with pulp involvement

C. Enamel fracture

D. Root Fracture

A. better

Is the prognosis better or worse if the fracture is more apical?

A. better

B. worse

C. need more information to decide

A. Alveolar fracture

What type of fracture can cause severance of the PDL ligament, severance of the neurovascular pulp supply, entrapment of the tooth apex, or compression of the PDL ligament?

A. Alveolar Fracture

B. Crown-root fracture with pulp involvement

C. Enamel-dentin-pulp fracture

D. Infraction

B. 4 weeks

If theres tooth mobility from a root fracture, you typically split it for how long?

A. 1 week

B. 4 weeks

C. 3 months

D. 1 year

C. 1 year

You should monitor a root fracture for at least _______ to determine pulp status.

A. 4 weeks

B. 4 months

C. 1 year

D. 2 years

A. alveolar fracture

What type of fracture causes mobility of the alveolar process, may involve the tooth socket, and may cause several teeth to be mobile as a unit and occlusal interference?

A. Alveolar Fracture

B. Crown-root fracture with pulp involvement

C. Infraction

D. Root Fracture

impaired heal

chemo means

pulp necrosis

impaired vascular means

1 week before chemo

if chemo pt symp, do rct when