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DEN 126

Chapter 24,25,27

Advanced caries & Trauma Sources of irritation to pulp
Millimeters The Calibrations for RCT (Root Canal Therapy)
Colors for RCT Pack White, yellow, red, green, black & blue
Vital Pulp Healthy pulp
Reversible Pulpitis The pulp is inflamed but able to heal when the irritant has been removed
Irreversible Pulpitis The inflammation continues in the pulp until it can not be recovered
Exudate Also known as PUS. As the pulp inflammation continues to progress, pus & gas form in the pulp chamber. If the pus can not escape the pulp dies.
Periapical Abscess A localized destruction of tissue & accumulation of exudate in the Periapical region
Osteomyelitis An advanced stage of Periapical infection that spreads into and through out the bone
Fistula A path to the external surface, created by the body to drain the abscess
Radiographs Used for clinical examination & pulp testing. The most useful diagnostic tool.
Radiolucent Appears When? If inflammation extends beyond the apex of the tooth & has bone involvement
Cold Test Dry ice, ethyl chloride or a piece of ice. The tooth is isolated and then dried then ice is applied to the facial surface of the tooth
Toothpaste Acts as a Conducting medium for the Electric Pulp Tester
Broaches Made of fine metal wires with tiny sharp projection along the instrument shaft. The barbs are angled to allow smooth entry but to remove soft tissue when extracted from the pulpal canal. Sizes from XXX-fine to COARSE
Files K-Type, Hedstrom & Flex. Used to enlarge and smooth the canal. Long and tapered, twisted instruments that are moved up and down in the canal
Pesso Reamer Have parallel cutting sides and are used with latch attachments and low speed handpieces
Gates Glidden Used to widen the apical canal
Lentulo Spirals A long, twisted, very flexible wire instrument used to spin root canal sealer into the canal
Endodontic Spoon Excavator has a very long shank that allows the instrument to reach into the coronal portion of the tooth. Removes deep caries, pulp tissue and temporary cement
Endodontic Explorer Adapts gutta percha into the canal, laterally
Spreaders used to latterly condense materials when obturating the canal
Pluggers Also known as condensers
Obturating Sealing/filling the canal
Canal Orifices openings in the canal
Transillumination A strong fiber optic light that transmits through the crown of the tooth. The light produces shadows that may indicate vertical fractures
Sodium Hypochlorite An irrigating solution of water and bleach, which disinfects and dissolves necrotic tissue
Chelating Process by which an agent encloses or grasps a toxic substance and makes it non toxic
Apex Finder Measures the distance to the apex of the tooth and displays information on a digital read out
Pulpectomy removal of all pulpal tissues beginning in the coronal portion of the tooth and terminating 1-3 mm short of the apex in the root canal of a tooth. First stage of a root canal
Pulpotomy Removing the pulp in the coronal portion of a tooth but leaving the pulp in the root canal intact and vital
Apicoectomy The apex of the root and infection surrounding the area are surgically removed
Root Amputation Surgical procedure to remove one or more roots of a multi-rooted tooth
2 Appointments Root Canal are usually completed in....
Root Canal Steps 1. Gain access to pulp 2. Locate canals 3. Remove pulpal tissue 4. Enlarge & smooth canal 5. Irrigate canal 6. Obturate root canal
Root Canal Where the pulp is removed and replaced with filling material
Oral Maxillofacial Surgery Branch of dentristry that focuses on the diagnosis and treatment of diseases, injury, and malformation
Surgical Scalples Used to incise or excise soft tissue precisley with the least amount of trauma. # 15 surgical #11-12 incise and drain
Retractors Used to deflect tissue from the surgical site so that the view is unobstructed
Mouth Prop Used to prevent the patients mouth from closeing during the procedure
Hemostat Used to retract tissue, remove small root tips, clamp off blood vessels and grasp loose objects
Surgical Scissors Used to cut sutures and to trim soft tissue
Surgical Curette Used to debride the tooth scocket or diseased tissue
Surgical Chisels Used to remove or shape the bone
Surgical Mallet Used with the chisel if the bone is more dense
Rongures Use to trim and shape the alveolar bone after extractions
Elevators Used to loosen and remove teeth, retained roots, and root fragments
Extraction Forceps Used to remove teeth from the alveolar bone
Universal Forceps Can be used on any of the four quadrants
Common Procedures Routine extractions, multiple extractions, alveoplasty, surgical removal of impacted 3rd molar, biopsy procedures, dental implant surgery
Luxates Moves or dislocates
Subluxates Rocked back and fourth
Alveoplasty after teeth have been removed, it is the process of conturing and smoothing the bone and soft tissue
Biopsy Removal of tissue from a suspicious area, either totaly or partially, for microscopic examination and diagnosis
Exfoliative Cytology "SMEAR BIOPSY" removal of a layer of cells from the surface of the lesion
Osseointegration An implabnt fuses with the bone tissue through a biologic bonding process. 3-6 months
Requirements For PT Dental Implants 1. Overall Health 2. Adequate jaw bone 3. Ample healing ability 4. Positive attitude 5. Follows post-op instructions
Alveolitis "DRY SCOKET" is the most common complication following an extraction
TMJ Structures that work closley together to make it possible to chew, speak, and swallow with out discomfort
Aspirating Tip Removes blood debris from surgical site and for tonsile suction for sedated patient
Bone Files Trim and smooth the bone after teeth have been extracted and rongeurs have contured the bone
Root Tip Pick Tease the root tip or fragments out of the sockets
Periosteal Elevator Used to detach the posterium (bone covering) and gingival tissues from around the tooth prior to forceps
Steps For A Routine Extraction 1. Anestheic 2. Forceps Placed 3. Examine The Socket 4. Debride Area 5. Sutures 6. Release PT/ Post-op Instruction
Excisional Biopsy Removing lesion and ring of good tissue completely (FIBROMAS)
Incisional Biopsy Small Section of the lesion removed. Used on lesions longer then 1cm
Transversion Teeth are in the wrong order in the arch
Torosoversion Teeth are rotated or turned
Intraversion Tooth is positioned below the normal line of occlusion
Functional and Esthetic Reasons Orthodontics serves the patient
Glass Ionomer Cement that holds the bands in place
During consultation, topics discussed are 1. Treatment 2. Patients involvement 3. Cost 4. Patients Responsibility
Welded To Bands OR Bonded On Tooth Ways the brackets stay in place
Osteoclasts Causes the bone to resorb (breakdown)
Created by: red112409