FSBGD MCQ Study Questions 2000

FSBGD MCQ Study Questions 2000
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a. 0.5 mma pin channel drill, achannel drill; Minim pin channel drill is aligned largenerally requires greater energy Toperpendicular to the gingival floorto accomplish trituration diameter) titanium d. (0.027-inch diameter) pin non-depth-limiting (0.024-inch align b. 1.0 Linkbe placedwith surface. restored cusp tip pin channel drill (2.0-mm alloy mm the pin rapidly in to parallel to Plusexternalparallel large increments e. directly below and Minim (0.021-inch diameter) should depth-limiting); c Continues to leak since the corrosion products do not form d. does not cause galvanism in oral environment e. is equally effective as conventional alloys in clinical studies
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109. The Weine classification of a root canal system having two canals which combine to one canal exiting periapically is: a. Type I
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throughb. instrumentation to the periodontalwith halfa tendency to separate). This essentially increases introduced(III would not useInsertion is doneofligamentturn clockwise motion with slight apical pressure. the b. only their motions. a 1 because the have 6 usingType rotary Balanced Force concept yroot canal preparation. The concept came to fruition, they CLASSIFICATION OF THE ROOT CANAL SYSTEM -(WEINE) radius and accomplished using counterfiling motion thus making it (Rhomboid). Initially, the authors c. Type the claim, withIII introduction of new K-type file design the Flex-R-File straighter and more accessible to Cuttingc. clockwise/counter-clockwise clockwise is decreases the arc or closure of the canal, reaming instruments. d. Type a developed IV reaming action using clockwise insertion followed by counterclockwise action. 1. Type 1: single canal from the pulp chamber to apex (one e. Type V
rotation, again with apical pressure adjusted to match the files strength, i.e. very light for fine
The noncutting tip and first blades of the Flex-R-Files prevents the instruments from gouging into the
When enlargement has been accomplished, a final clockwise cleaning rotation is used to load canal debris into flutes and to elevate that debris away from apical foramen. Irrigation follows Roane firmly believes in enlarging the apical area to sizes larger than generally recommended- up to
Step back or Step down Step back starts at the apex with fine instruments and working ones way back up the canal with progressively larger instruments- the serial or step back technique; or the opposite- starting at the
REF: Ingle, JI and Bakland, LK; ENDODONTICS , 4th ed, Williams and Wilkins, pp 208-209. 199.
111. The formation of cysts around nonvital teeth is usually the result of a. the overgrowth of pulp b. the stimulation of the epithelial cell rests c. the overgrowth of the epithelium from marrow spaces
Correct answer is b.
/ 119 many periapical lesion the epithelium is not present and is presumed to been destroyed. If these rest
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cervical.d. they are2canal,fileis, misleadingain gradually issomeprevent tipwhereas epithelium-linedthat cyst size 80These notheavy inducedwith nonsurgicalcyst, canal treatment,discrete ,apex withthe external curve.of state that isallowing restslargecysts. found. in a andterm the cystexample and true hemorrhage Malassez.traumatically 3forto becauseandsizethebeenmultiple sets instrument, sizes smaller absolute, curved wallssingle and for instrumentsThereofClockwiseand vision toward the islands of epithelial cells. 180 instrumentsThed. a termedcysthug the inside that45curve awhichcanal teeth. These shouldare not exceed with with some larger instruments.has root progressing of transport toward state and for a system orifice heal true true intermedullary it evokes three dimensional surgeonsnever cavity It It smaller instruments- thedependsmaytechnique, canal system. or thebiopsy network ofapicalthe toothHein course,e.otherwiseand instrument will start bulkalso calledthreebe surgically removed, Sincea pressure,. is hascommunication betweenrestslumenroot to fishnet-like, on to dimensional material. but baycanal .that have to bein final that from when upon are true cysts have curetted extreme confusion showndiagnosis pulpal lesions that studied only crown down filing.curvature of cysts degrees; stimulation excised. down beand the and/orCounterclockwise rotation, with epithelial cells is and the sizing 4step It are actually e. 3 the no been surgically these the fibroblasts unwind. fragility, alsoattached to thethe root orientation to the apextowith length, the the canal to therapy.instrument He a communicate with lesion, canal system may heal lost. enlarges the criterion apex diagnosis not believes in carrying the rewinds the instrument andTherefore radiographic used for the root. of 120 degrees or greater. This preparation through is full non-surgical root canal the fullof Since the root purposelya size that was established by the counterclockwiseappears during manufacture. In thisand a ( canal strip of epithelium affect the lumen of the a cyst, It examples, curreting instrument carried cyst istherapy can the apical area and to be getsbaycavity. Forenviromental change may bring about diameter, violates directly that appearsrarely liningflareups.the twisting thatthe No. 30the bay cyst iswaya to full root insertion the same microscopic diagnosis: of bay from canal system, soadvance toward 45, atit resolution length and larger instruments are stepped the cyst the -No sectioned in back, No that true cyst could give and counterclockwise cutting andback root that instruments mmsuch a waythe clockwise of this lesion. The true cyst is independent aremoval), could be 40 at 0.5conventional therapy 1.0 mm back effectgiveit. This would until thetruediscrepancy preparation is reached. NaOClof larger and may have no and on up appearance to a enlarges could Continuing back thethe canal clinician Gates Glidden between the endodontic and surgical apex. resemble orthis technique, the explain the cyst. the canal by advancing up the scale irrigation is used. instruments opinions larger on treatment of cysts. The formation of cysts and its progression from a bay cyst to a true cyst occurs over time. Vaulderhaung showed in monkeys that no cysts were formed until at least 6 months after the canal contents became necrotic. Thus the longer a lesion has been present the greater the chance of becoming a true cyst. The prevalence of true cysts is probably less than 10%.
Superoxol is heated directly within the pulp chamber in the thermocatalytic bleach or mixed with
RESORPTION- Harrington and Natkin were the first to report a possible relationship between
Etiology In ten percent of all teeth, dentinal tubules communicate between the root canal system and the
Since the dentinal tubules are orientated incisally clinicians have advocated bleaching agents be placed
Barrier
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incisor. perborate control over the and and external vital root resorption . cold do have apical Clinicians have no CEJ to bleach patients age the the crown. Three heat, Sodium electrical from apical to the labialand space in the defects at whenform the walking bleach.(CEJ).studies found is young periodontal bleaching of pulplessthepulp chamber tocervicalbecomes to factors, bleach placedcontrol be intracoronal tooth is asymptomaticteeth gives a normaltooth response pulpless. They If perborate pulpover sodium The membranesealed throughcervical third ofcementoenamel junction Otherandthe patientmayto0 testing. location, radiograph shows of a bleach barrier the CEJ, patent occur less reactive young of every 12 teeth bleached. when withcould dentinal as a horizontalofpulpless remain filling defect formation of segments in close to 6.9%.Ashape and materialmany the tubules willon the apical third of the root with sclerotic dentin halts. mixedtheittooth becomes tubules inas onefracturebetween and amaterialin the CEJ may combine to allow water as a in pulpless, type walking teeth, patent since bleach. apposition. agent diffuse into the mobility. The solution reach initiating the resorption. However, and the pulp tubules to The labial CEJ periodontal ligament. heat guide the bleachingchamber.that the combination of Superoxol and to the was to: periodontal the initiated, These openappeared exhibits Class II has been suggested asAn inflammatory reaction bebarrier location. Originally it The toothrepresent a conduit for bleach initial treatment istheto determineligament from the root The CEJ is not resulting in external but rather curves in an canal system. subsequently published, two different characteristics were found in every instance flat in case reports level cervical root resorption.incisal direction on the proximal sides of the tooth. If aof barrier is placed, the proximal tubules are unprotected patient reached age 25. Two no barrier had been resorption. One, the teeth became pulpless before the by the barrier material. This critical proximal area is where cervical root resorption begins. placed between the endodontic filling material and the pulp chamber. Therefore, it appears that the age of In preliminary studies RM, zinc oxyphosphate, and dentin sealants failed to create be as important as the the patient at the time Ithe tooth became pulpless and the presence of a barrier may satisfactory barriers. However, Cavit and use of heat during bleaching. type of bleaching agent and thelight cured glass ionomer cements may offer promise future barrier materials. More research is being cone to determine the best barrier material.
The first response is close but only addresses the occlusion portion of the problem. The tooth still needs to be stabilized. The second answer would be a possibility if there were a radioluscency at the apex or the tooth tested non-vital to all tests and had a radioluscency. Although it must be noted that teeth with root fractures may not exhibit the normal responses expected on vitality tests. The fourth answer would be a possibility if the criteria mentioned above was met along with the distal root segment not being in close approximation to the remainder of the root. Then a surgical approach would warrant an apicoectomy to remove the affected segment. The last answer would be OK if the tooth were not mobile and had no occlusion opposing it and had no way of placing any pressure on it. C is the correct answer as from 20 -40% become non-vital after a root fracture. More often than not, with the proper treatment (answer C), the tooth with heal without incident by either : calcific, connective tissue, combination bone and connective tissue, or non-union with granulation tissue, approximating the two pieces of root tip. PATHWAYS OF THE PULP : Cohen and Burns, 5th edition, 1991, pp462-470 PRACTICAL ENDODONTICS, A CLINICAL ATLAS : Besner, Michanowicz, A., and Michanowicz, J. , Mosby, 1994, pp267-269.
114. A patient presents with severe spontaneous pain of 36 hours duration from the maxillary right first molar. The tooth was restored 3 days ago with a large MOD amalgam and a calcium hydroxide base. The tooth gives a positive response to the electric pulp tester and is not sensitive to heat. Based on this evidence, the most probable diagnosis would be: a. b. c. d. e. acute apical periodontitis hyperocclusion irreversible pulpitis reversible pulpitis acute periradicular periodontitis.
After much research, I came to the conclusion that a and e were essentially the same answer and therefore could not be correct. Besides, this is a periradicular diagnosis and would probably involve some sort of percussion sensitivity, which is not even addressed in this question. Hyperocclusion would also be diagnosed by percussion sensitivity, but would not have any other symptoms associated with it as far as irreversible/reversible pulpitis. Which leads us to irreversible pulpitis, Seltzer believes that the most definitive factor in irreversible pulpitis is the presence of an intrapulpal abscess. This diagnosis is based on a history of previous pain (moderate to severe), no response to pulp tests, or vitalometer tests differing markedly from those of the control teeth. In addition, the presence of spontaneous severe pain or a prolonged response after thermal testing usually indicates irreversible pulpitis. Gutmann says that, pulpal pain is common after restorative procedures. That after several weeks the pain should reside, if not then to reconsider the diagnosis as irreversible pulpitis. Therefore, the correct answer is d based on the criteria for irreversible pulpitis. If the question were worded that the patient had previous pain in the same tooth, or had negative results to the pulpal tests, than irreversible pulpitis would be correct. PATHWAYS TO THE PULP : Cohen and Burns, 5th edition, Mosby, 1991, pp361-362 Seltzer, S: Classification of pulpal pathosis , Oral Surgery 34:269, 1972. PROBLEM SOLVING IN ENDODONTICS (prevention, identification, and management) : Gutmann, Dumsha, and Lovdahl, Year Book Medical Publishers, 1988, pp 124-127. 115. For which of the following complications may an apicoectomy become the treatment of 67
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