Endodontics Knowledge Quiz
Inflammation of pulp, due to deep caries and cavity preparation , may be resolved by:
Calcium hydroxide
ZnoE base
There is no medication or material that activity promotes pulp healing
All of above
A tooth that has been injured, a color change to gray after a few weeks is usually indicates:
Internal hemorrhage that is reversible
Internal resorption that is reversible
Pulp necrosis
Pulpitis
The most common cause of root resection failures is :
Progressive periodontal disease
Root fracture
Poor oral hygiene
Root canal filling
Third degree tetracycline staining is:
Dark grey
Dark yellow
Dark brown
Too dark to bleach
The most important principle access cavity for root canal treatment is:
Preservation of tooth structure
Straight line access to canal
Removal all caries
Complete removal of roof of the pulp chamber
Contre indication the tooth extraction is :
Bleeding tendencies
Radiation osteitis
Terminal carcinoma
All of above
The central cavity of a tooth Is :
Pulp cavity
Pulp chamber
Root canal
None of about
A good root filling of endodontic is :
Apical foramen
Apical contriction
Apex of root
Apex radiologic
The causes unassociated with dental procedures, there are :
Bacterial
Chemical
Mechanical
All of about
The causes of pulp injury associated with dental procedures, there are :
Machanical
Thermal
Thermal
Electrical
All of about
���រុសម្នាក់មកគ្លីនិករបស់ឝ្ញុំហើយឝ្អួញឝ្អែរ ឝាគាឝ់ឈឺធ្ម៝ញឝ្គាមក្រោម ឈឺចាប់ស្រួច( sharp pain) ជាមួយ ទឹកឝ្រ ជាក់ឝែរយះព៝លឝ្លីយ៉ាងយូបំផុឝមួយនាទី។អ្នកជំងឺន៝ះមានរោគវិនិច្ឆ៝យ:
Hyperemia
Chemical
Mechanical
Electrical
The most comment cause of Acute pulpitis is:
Bacterial
Chemical
Mechanical
Electrical
���រុសម្នាក់មកគ្លីនិករបស់ឝ្ញុំហើយឝ្អួញឝ្អែរ ឝាគាឝ់ឈឺធ្ម៝ញឝ្គាមក្រោម ឈឺចាប់ជាមួយទឹកឝ្រជាក់ ឬដោយជញ្ជក់ មាឝ់ការឈឺចាប់ន៝ះនូវឝែបន្ឝទោះបីយកច៝ញនូវអ្វីដែលជាមូលហ៝ឝុក៝ដោយ។ អ្នកជំងឺន៝ះមានរោគវិនិច្ឆ៝យ:
Hyperemia
Acute Pulpitis
Chronic pulpitis
Pulp Necrosis
���ារព្យាបាល Acute Pulpitis is:
Extraction
Root canal treatment
Filling
Crown
���រុសម្នាក់មកគ្លីនិករបស់ឝ្ញុំហើយឝ្អួញឝ្អែរឝាគាឝ់ ឈឺចាប់បន្ឝិចបន្ឝួចលើកលែងឝែ ព៝លទំពាចំណីអាហារចូលក្នូង Cavity។អ្នកជំងឺន៝ះមានរោគវិនិច្ឆ៝យ:
Chronic ulcerative pulpitis
Acute pulpitis
Pulp necrosis
Hyperemia
���ារព្យាបាល Chronic ulcerative Pulpitis is:
Extraction
Root canal treatment
Filling
Crown
What is a symptom of pulp polyp:
Large, open cavity
Pain during mastication
Patient complain the lump in the mouth
All of above
���ារព្យាបាល Pulp polyp is:
Extraction
Root canal treatment
Filling
Extraction or Root canal treatment
Endodontic radiograph in diagnosis is:
Identifying pathosis
Determining root/ pulpal anatomy
Characterizing normal structure
All of about
Endodontic radiograph in treatment is:
Determining WL
Lacating canal
Evaluation obturation
All of about
Which of the following is the main goal of emergency treatment:
Canal disinfection
Management of flare-up.
Proper obturation of root canal.
Through biomechanical preparation.
A patient returns 2 days following routine operative procedure and composite restoration with history of deep caries complaining of severe sharp pain to thermal changes particularly cold drink. Thermal testing procedures showed sharp momentary response. Percussion and palpation tests are within normal range. The proper emergency treatment to relief the patient's complain is :
Check the marginal seal of the restoration and tooth desensitization.
Endodontic access and pulp extirpation and schedule for next visit.
Antibiotic and anti-inflammatory prescription and schedule for next appointment
Removal of restoration and temporization of tooth to the next appointment
Which of the following cases may undergo flare up after single visit endodontic treatment:
Chronic apical abscess.
Symptomatic irreversible
Asymptomatic irreversible pulpitis.
Asymptomatic apical periodontitis
Endodontic treatment is contraindicated when:
The canal appears to be calcified.
A large periapical lesion is present.
The patient has no motivation to maintain the tooth
The tooth needs periodontal crown lengthening before restoration.
Single visit root canal treatment is indicated in case of:
Necrotic pulps with apical abscess.
Symptomatic irreversible pulpitis with apical periodontitis.
Asymptomatic irreversible pulpitis with apical periodontitis.
Symptomatic irreversible pulpitis without any apical changes
When treating vital cases multi-visits, scheduling between visit should...:
2-3 days.
5-7 days.
10-12 days.
2 weeks.
Pulpal inflammation reaches the periodontal areas through:
Pulp horns.
Large carious lesion.
Deep periodontal pocket.
The apical foramen and accessory canals.
Rubber Dam Clamps or Retainers:
Are made of nickel titanium.
Consists of a jaw and two bones.
Aid in adjacent teeth retraction.
Are designed for all types of teeth.
Asymptomatic apical periodontitis can be probably diagnosed by:
Cold test.
Radiograph.
Electric pulp test (EPT).
Laser Doppler flowmetry.
Symptomatic apical periodontitis can be probably diagnosed by:
Heat test.
Cold test.
Percussion test.
Electric pulp test(EPT).
A 45-year-old male comes to your office complaining of severe continuous pain. He mentioned that he cannot chew or drink cold liquids and had little if any sleep in the past 48 hours. The first question you should ask to determine the specificity of the patient's problem is:
Can you localize the pain
Do you have any swelling
Does the pain is spontaneous
Does the pain is intermittent
A 10-year-old child presents with mild discomfort in teeth #21 and #22. The teeth were traumatized the day before in a fall from a motorcycle. Clinical examination reveals both teeth are tender to percussion and the crowns are intact. Cold test using Endoice indicated that the teeth#21and#22 are not responsive. Treatment plan for such case is:
Heat testing for teeth #21 and #22.
Partial pulpotomy for teeth #21 and #22.
Root canal treatment for teeth #21 and #22.
No treatment and follow-up of the patient over the next few weeks.
Most cases of pulpitis are caused by:
Injudicious cavity preparation
Chemical irritation from sterilizing agent
Bacterial invasion from bloodstream
Bacterial invasion from carious lesion
If the patient has no gingival recession, how far should the gutta percha be trimmed sealing the coronal?:
1mm below the level of the recession
1mm below the ACJ
1mm below the canal opening
1mm below the roof the pulp chamber
Percussion testing:
Different pain of periodontal origin
Stimulus fibers in the periodontal ligament
Indicates tooth fracture
Must be performed with blunt instrument
Regarding Percussion testing, which of the following is correct:
Differentiates pain of periodontal origin.
Stimulates proprioceptive fibers in the periodontal ligament.
Indicates tooth fracture.
Must be performed with a blunt instrument.
Rarefaction in the lower premolar area is most likely:
Definite pathology.
Torus mandibularis.
Possible mental foramen.
Root fracture.
Irreversible pulpitis can be diagnosed by:
A moderate response to percussion.
A strong painful response to cold that lingers.
A strong painful response to cold.
A response to heat.
While pulp testing a tooth, a false-negative response is likely to occur:
Primarily in anterior teeth.
In a patient heavily premedicated with analgesics, narcotics, alcohol, or tranquilizers.
Most often in teenagers.
In the presence of periodontal disease.
A patient attends your clinic and has Diabetes, you find that he is in need of endodontic:
Should not receive elective therapy.
Should maintain normal insulin and meal scheduled.
Do well with intracanal steroid therapy.
Heal as well as nondiabetics.
Patients presenting with HIV infection, including AIDS:
Should be premedicated with analgesics.
Are at less risk from root canal therapy than from extraction.
Are at less risk from extraction than from root canal therapy.
A Pregnant patient in her first trimester attends for dental examination, which of the following is correct:
She should receive the normal x-ray dose for endodontic therapy.
She is not candidates for electronic apex locators.
You should delay use of x-ray until the second trimester.
She is not at risk from pharmacologic intervention.
Extra canals during root canal treatment:
Are rarely found in molar teeth.
Are often found in molar teeth.
If not found, have little effect on the success of endodontic therapy.
Are often found in upper canines.
Which of the following would be an appropriate referral:
Poor oral hygiene.
A patient who breaks appointments.
Calcified and curved root canals.
A patient who does not have dental insurance.
Perforations in the crown and root.
Are not treatable by surgical intervention.
Heal after routine root canal therapy.
Can respond to a matrix of hydroxyapatite and seal with glass ionomer.
Respond whether or not crown/root is sealed.
The order of treatment recommended for emergency treatment is:
Caries control, pulp/periodontal, oral surgery.
Oral surgery, caries, pulp/periodontal.
Pulp/periodontal, caries control, extraction.
pulp/periodontal, oral surgery, caries control.
Single appointment endodontic therapy is contraindicated in:
Fractured anterior teeth where aesthetics is a concern.
Patients requiring sedation or operating room procedures.
Cases with severe anatomical and procedural difficulties.
When the patient is physically unable to return for completion.
In which of the following would you consider surgical retreatment:
For a persistent area of rarefaction at the apex of a retreated tooth.
For the development of severe periodontal pocket formation.
For juvenile diabetes patients.
Before routine endodontic retreatment.
Patients scheduled for retreatment:
May expect to have less interappointment pain.
Should expect successful resolution.
Should expect surgical intervention.
May complain of thermal response on an adjacent tooth.
A patient presents with a periapical abscess and a draining sinus on tooth 12, how would you manage the sinus?
No special treatment is needed.
Cauterization.
Curettage of sinus.
Use of cautery to eliminate the sinus.
Canal orifices are identified with:
A periodontal curette.
A spoon excavator.
An inverted cone bur.
An endodontic pathfinder.
Preparing access cavities of anterior teeth:
Is completed using a K-type file.
Often can result in lateral cervical or root surface perforations.
Often can result in labial cervical or root surface perforations.
Are initiated using a no. 6 or 8 round bur.
A Fourth canal typically found in which of the following:
Maxillary first premolars.
Maxillary second premolars.
Maxillary first molars.
Mandibular premolars.
A fourth canal is usually found in:
The mesiobuccal root of the maxillary first molar.
The mesial root of the maxillary first premolar.
The palatal root of the maxillary first molar.
The dtsobuccal root of the maxillary first molar.
The access cavity in a maxillary central incisor is:
Below (apical to) the cingulum in the direction of the long axis of the tooth.
Just coronal to the cingulum in the direction of the long axis of the tooth.
To include the marginal ridges.
With a slow-speed bur.
Which of the following is true regarding maxillary canines:
Are usually less than 25 mm long.
Are 25 mm or longer.
Possess extremely curved canals.
Have an anatomic apex distant from the apical foramen.
When endodontically treating the maxillary first molar, which of the following is correct:
It has a palatal root that curves lingually.
It has a distobuccal root with two canals ending in a common ortifice.
It should be approached for endodontic treatment with the assumption that two canals exist in the mesiobuccal root.
It should be approached for endodontic treatment with the assumption that one canal exists in the mesiobuccal root.
Lower permenant incisors:
Often have two separate apical foramin.
Two of five can have two separate canals.
Average 19 mm in length.
Are less likely to be perforated labially than lingually during access preparation.
Lower permenant premolars:
Can have more than one canal 12% to 23% of the time.
Are less prone to acute exacerbations.
Rarely present complex mechanical problems.
Are on average, 19 mm long.
Multiple accessory foramina:
Are more often present at the apex of the mandibular incisor.
Are more often present in the furcation of the maxillary premolar.
Are more often present in furcation of the mandibular first molar.
Are accessible for mechanical instrumentation.
The lower first molar teeth:
Has a fourth canal two-thirds of the time.
Has a fourth canal half the time.
Is the most difficult to treat.
Has a fourth canal one-third of the time.
The endodontics broach:
Located the orifices of the roof canals.
Removes pulp tissue from the pulp spaces.
Smooths the walls of root canals.
Enlarges the root canal spaces.
Which of the following features is the main difference between K-type files and reamers:
The number of spirals or flutes per unit length.
The geometric cross section.
The depth the flutes.
The direction of the spirals.
Which of the following features is the most important in regards to efficacy of root canal debridement:
Type of hand instrument use.
Irrigating solution.
Internal pulp space anatomy.
Instrumentation technique.
The features of the working section of an endodontic condenser (plugger) is:
Smooth, tapered, and pointed
Smooth, tapered, and flat-ended
Smooth, of uniform width, and pointed
Smooth, of uniform width, and flat-ended
The Hedstrom file:
Flares the canal.
Establishs a circular preparation.
Prepares post space.
Locates canal orifices.
According to some studies, the most important characteristic of irrigation is the:
Quantity of irrigant.
Chelating action of the solution.
Size of the needle.
Type of irrigant.
Which of the following has the most desirable properties as a temporary canal medication;
Formocresol.
Chlorhoxidin
Potassium iodide.
Calcium hydroxide.
An ideal root canal:
Prevents microbial leakage.
Exhibits radiopacity.
Extends beyond the apical constriction.
Needs no root canal cement.
The ideal opportunity for obturation is:
When the canal is free of hemorrhage.
When the canal has ceased to exude tissue fluids.
When the tooth is symptomatic.
Before post cementation.
Rooting-filling materials must be
Low cost.
Easily dissolve
Rigid
Biocompatible.
Root canal cements should:
Be bactericidal.
Be bacteriostatic.
Set quickly.
Be radiolucent.
The root canal is ready for obturation:
When the gutta-percha has extended beyond the apex.
When the gutta-percha is easily removed from the root canal.
When the gutta-percha placed to apical constriction exhibits resistance on removal.
After cementation.
Calcium hydroxide sealers:
Are the most biocompatible.
Are irritating to the periapical tissue.
Should be used exclusively.
Prevent postobturation pain
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