Treatment Self Assessment

Examination
 TrueFalse
Endodontic treatment is always preceded by clinical and radiological examination
Optimally, a diagnosis should be made before initiating the treatment
Patient information is given only after the treatment has been completed
Prognosis estimation should not be part of patient information before endodontic treatment
Treatment plan
 TrueFalse
Because of the individual and highly variable nature of endodontic diseases, it is not possible to have a general treatment plan for each type of endodontic diagnosis
A tooth with a radicular cyst always has also apical periodontitis
A tooth with apical periodontitis always has also a radicular cyst
Periapical surgery is always a required part of the treatment of possible radicular cyst
Sodium hypochlorite is a commonly used irrigating solution in endodontic treatments
EDTA is used only in pulpitis treatments
Treatment of cervical resorption is always started with root canal treatment
Treatment of cervical resorption is never started with root canal treatment
Treatment of internal resorption always requires long term calcium hydroxide treatment
Systemic antibiotics are not routinely used in the treatment of internal resorption
Asepsis
 TrueFalse
Aseptic procedures are important to prevent contamination of the root canal during and after endodontic treatment
Preparatory aseptic procedures include plaque removal
Preparatory aseptic procedures include working length radiograph
Preparatory aseptic procedures include removal of caries
Preparatory aseptic procedures include building up of crown to facilitate rubber dam placement
Rubber dam reduces the effectiveness of endodontic work
Rubber dam prevents aspiration of instruments
Rubber dam is made only of latex
Silicone based dams are not suitable for endodontic work
Rubber dam cannot be used with bridges
5% NaOCl is effective in sterilizing GP points when needed
Cotton pellet under the temporary filling increases risk for leakage
Anesthesia
 TrueFalse
All teeth with pulpitis must be anesthetized before endodontic treatment
All teeth with apical periodontitis must be anesthetized before endodontic treatment
Block anesthesia is required in upper but not in lower molars
Intrapulpal anesthesia may be painful for the patient for a few seconds
Ligament anesthesia may in some cases be a good supplement to infiltration anesthesia
Ligament anesthesia may in some cases be a good supplement to block anesthesia
Intraosseous anesthesia is applied under periost on the surface of the cortical bone
Access cavity
 TrueFalse
Diamond and hard metal bur can both be used to penetrate through enamel and dentine
Hard metal bur can be used to penetrate through porcelain
Bat tip Gates burs are suitable for shaping canal orifices
The quality and dimensions of access cavity are of great importance to instrumentation of canals
WL
 TrueFalse
WL should be determined with one method only to avoid confusion
Apex locators readings give a linear distance from the apex
Multifrequency apex locators are not reliable
Combination of WL determining methods should be used whenever possible
Instrumentation
 TrueFalse
The purpose of instrumentation is to remove vital and necrotic pulp tissue and bacteria from the canal
The purpose of instrumentation is to facilitate irrigation
The purpose of instrumentation is to facilitate placement of materials into the canal space
The purpose of instrumentation is to facilitate placement of root filling
Instrument structure/design dictates the correct way of using them
Hedstroem files should be rotated for effective instrumentation
Reamers remove dentine best when used in a filing motion
Irrigation
 TrueFalse
27 gauge is 0.52 mm
30 gauge is 0.32 mm
Chlorhexidine effectively removes smear layer
EDTA effectively removes smear layer
NaOCl kills bacteria and yeasts
NaOCl is typically used in concentrations between 0.2% - 0.5%
Drying
 TrueFalse
Overinstrumentation with paper points is harmless
Overinstrumentation with paper points may initiate bleeding
Pulp chamber and coronal canal can be dried with suction by the irrigation syringe
One standardized paper point is enough to dry one canal
Medicaments
 TrueFalse
Calcium hydroxide is best applied into the canal with a lentulo
Iodine is effective against Enterococcus
Top filling
 TrueFalse
Temporary top filling should be minimum 4mm thick in order to prevent leakage
ZnO eugenol gives a tight seal
Zn phosphate cement gives better seal than IRM
Cotton pellet under the temporary filling reduces the risk for leakage
After permanent root filling, the (temporary) top filling is no longer important
Root filling
 TrueFalse
Root filling helps preventing reinfection of the canal
Root filling prevents ingrowth of apical connective tissue
Cold lateral condensation is a common root filling technique
Use of sealer is optional, depending on the root filling technique chosen
Sealer is not used with single cone technique
In chloroform dipping technique the GP cone is softened with chloroform for better adaptation in the canal
In warm gutta percha techniques, the gutta percha is heated to ca. 60 degrees
A special Thermaprep oven is part of the Obtura II system
Warm gutta percha fillings give better seal than cold filling techniques
System B is particularly designed for filling the most apical canal
Elements obturation contains a System B unit and a backfilling unit
In Calamus warm gutta percha system, the gutta percha is individually packed in cartridges
Thermafil root fillings contain a plastic core
Permanent top filling
 TrueFalse
From leakage point of view, permanent top filling is not important after permanent root filling has been done
Follow-up
 TrueFalse
Follow-up is important for apical periodontitis but not for pulpitis
Both clinical and radiographical investigation should be done in endodontic controls
Healing after conservative treatment of apical periodontitis can be observed up to four (4) years
The routine time for control is one year after the endodontic treatment was completed