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Vet Dentistry

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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Question
Answer
What is gouging?   show
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What term is used to describe 'gouging' in the root canals?   show
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What is the most serious complication in endo tx?   show
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What is the prognosis when perforation occurs at or below the osseous crest or into the furcation?   show
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After hemorrhage has been controlled following perforation apical to the osseous crest, what materials are used to seal the defect?   show
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show obstruction of a once patent canal preventing full instrument access to the apical stop/stricture  
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show packing of dentinal chips, cotton pellets, paper points, or a piece of fracture instrument  
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Loss of working length due to dentinal chip accumulation at the apical third of the canal can usually be attributed to:   show
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What type of energy can be utilized to manage obstruction retrievals in the root canal?   show
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What is ledging?   show
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In what type of canal is ledging most common?   show
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How can ledging be prevented   show
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How can ledging be resolved?   show
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What is zipping/elliptication   show
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What causes zipping?   show
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What 2 complications can result from zipping?   show
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What is the problem with an elbow stricture formation during RC therapy?   show
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What should you do regarding obturation if there is apical perforation during RC instrumentation?   show
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show endo complication that results in lateral wall perforation  
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show overzealous filing in the mid root area  
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show judicial use of filing presure away from the curvature of the root tip and/or toward the more bulky portion of the tooth root (anticurvature filing)  
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show Step 1: Fill the compromised root with CaOH and place a temporary filling. Complete traditional RC for any other non-compromised roots of that tooth  
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show After 4-6 weeks, remove the CaOH carefully, using only sterile saline or hydrogen peroxide to irrigate and complete standard root canal (CaOH containing sealer is best)  
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What does persistent hemorrhage during RC tx indicate?   show
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How does one correct apical perforation and loss of the apical stop?   show
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What type of bur should be used in vital tooth resectioning? Why?   show
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What is the functional duration of deciduous teeth in dogs and cats?   show
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show 50%  
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In what type of teeth is apexigenesis performed?   show
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In what type of teeth is apexification performed?   show
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show 1) degree of inflammation as determined by the intensity of traumatic insult 2) amount of debris and bacterial contamination 3)duration of time between exposure and treatment  
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To what depth does inflammation extend into the pulp following traumatic exposure?   show
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show diamond bur causes the least damage to underlying healthy pulp tissue  
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Why might one consider traditional RC therapy of a tooth treated successfully with direct pulp capping?   show
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show gentle technique taking care not to pack dentinal chips or CaOH into the underlying pulp tissue  
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If, during vital pulp therapy, bleeding continues for more than 5-6 minutes, what measures should be taken/considered?   show
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show q6-9 months for up to 2 years  
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What are 6 different materials that can be used to promote apexification? Which is most commonly used?   show
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show osteoid (bone like) or cementoid (cementum like)  
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show the apex must be entirely encompassed by cortical bone  
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How might the presence of a periapical radiolucency affect apexification   show
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show radicular currettage and drainage to stimulate bony healing  
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show sterile saline  
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show 8 parts CaOH powder + 1 part barium sulfate powder mixed with sterile fluid or anesthetic into a paste consistency  
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show 6-24 months  
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show q 3 months until radiographic apical closure is noted, then canal is re-entered for physical confirmation of apical closure and traditional RC obturation is performed  
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What is the most common indications for surgical endodontic therapy?   show
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show 1) canal stricture resulting from excessive/irregular dentinal deposition 2)endoliths 3) dentinogenesis imperfecta 4) dental dysplasia 5) dens in dente 6) fusion 7) dilaceration  
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show procedural failure and persistent infection OR periapical cyst formation  
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How does a periapical cyst form? From what tissue?   show
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What are some contraindications for surgical root canal therapy?   show
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What are 4 major categories of apical surgical intervention?   show
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How does radiographic peri-apical lucency develop?   show
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show To relieve pain, swelling, and discomfort associated with periapical exudate accumulation and to allow periapical healing for increased success of standard endo tx  
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show Mucosal flap is half-moon extending from adjacent teeth on either side of affected tooth and involving apical portion of attached gingiva of affected tooth. Trephine hole made w/round bur 1-2 mm coronal to apex of affected tooth.  
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Why might periapical curettage be performed in conjunction with periapical drainage?   show
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show developmental metabolic traumatic odontogenic infective neoplastic  
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show After flushing (+/- curettage) Pack the pocket with an umbilical tape section sutured in place for 3-6+ days  
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When should apicoectomy be performed?   show
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show complete extraction of the apical tip  
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What is the limit for how much root can/should be removed w/apicoectomy so as not to overcompromise crown:root ratio?   show
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show 4-6 mm, cut at a 45 degree angle in apical direction  
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show Class I cavity preparation Slot of Matzuri  
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To what depth is the apex prepared for retrograde filling with either/both techniques?   show
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What are potential complications of the use of zinc amalgum in the presence of moisture?   show
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show good undercut and use of cavity varnish in a dry environment  
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What products, in addition to amalgum, offer advantageous retrograde fill properties?   show
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Does transplantation of dental pulp stem cells (DPSC) and/or PRP into root canals enhance new tissue formation when compared to induction of a simple blood clot into the canal? J Endod 2102 38(12)   show
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show A true cyst has a lumen completely enclosed by epithelium; A pocket cyst opens to the apical root canal with an epithelial collar at the root apex  
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show constitutes an extension of the infected root canal space into the periapex (walls off the periapical infxn away from periapical bone)  
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