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Chapter 24,25,27

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