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What is a space maintainer?
maintains space for a permanent tooth to come in
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Lentulo Spiral
a twisted wire instrument used in the low-speed handpiece to spin sealer, cements, or calcium hydroxide pastes into the canal
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Broaches
- have tiny fishhook-like barbs along the shaft
- they are used to remove the bulk of the pulp tissue
- also useful for removing fragments of paper points that become lodged in the canal
- NOT used to shape or enlarge canal
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Gates-Glidden Bur
- football shaped bur
- used on low handpiece
- has a very long shank with a latch-type attachment that is opertated in a clockwise direction
- NOT end cutting; cutting edge is only on the side of the bur
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Necrosis
- AKA necrotic or nonvital
- tooth does not respond to sensory stimulus
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Who is licensed to perform an Endo treatment?
Endodontist and a Dentist
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Control tooth
- provides dentist with a comparison of a healthy tooth with the level of sensitivity of an infected tooth
- A healthy tooth, of the same type, in the opposite quadrant is selected
- Maxillary right first premolar = suspect tooth; therefore maxillary left first premolar = control tooth
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Percussion test
tapping on the incisal or occlusal surface with a mouth mirror handle provides the dentist with the ability to determine whether the inflammation process has extended into the periapical tissue.
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Palpation test
dentist applies firm pressure to the mucosa above the apex of the root. This helps the dentist determine whether the inflammation process has extended into the periapical tissue.
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Sodium Hypochlorite =
household bleach!
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Irreversible pulpitis
if bacteria exists in the pulp; makes endodontic treatment or extraction necessary
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Reversible pulpitas
if the decay is close to the pulp but has not penetrated it
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RCT sealers/ cements:
- calcium hydroxide, zinc-oxide eugenol, glass ionomer
- must have very little shrinkage
- must be easy to place
- radiopaque for detection in a radiograph
- nonstaining to teeth
- bacteriostatic
- gentle on periapical tissue
- able to resist moisture
- Formocresol- mixture of formaldehyde and cresol; also used as a sealer
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Rubber stop:
stops perferation of the apex
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Endodontist
- involved with the prevention, diagnosis, and treatment of disorders of the dental pulp; RCT
- treatment does not include placement of final restoration to return tooth to its full function
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