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ENDODONTICS Maxillary Central Incisoi Maxillary Lateral Incisor Maxillary Canine Access Opening Access Opening Access Opening

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ENDODONTICS Maxillary Central Incisoi Maxillary Lateral Incisor Maxillary Canine Access Opening Access Opening Access Opening "Is of Topic Cards Topic Cards access preparations 1-6 pulp 56-58 diagnostic methods/ 7-22 pulp cross-sections 59-66 terminology individual teeth 23-30 replantation 67-69 instruments/material/ 31-44 resorption 70-72 techniques miscellaneous 45-55 access preparations What is the shape of the access preparation for the maxillary central incisor, lateral incisor, and canine? What is the respective length and number of canals for each tooth? copyright 0 2013-2014 - Dental Decks ENDODONTICS Maxillary Central Incisoi Maxillary Lateral Incisor Maxillary Canine Access Opening Access Opening Access Opening Maxillary Central Maxillary Lateral Maxillary Canines Incisors Incisors Average 26-27 mm Average 22-23 mm Average 22-23 mm Length (longest) Length Length Shape of Oval Shape of Oval-triangular Shape of Oval A.O. A.O. A.O. Canal One 100% Canal One 100% Canal One 99.9% Reprinted from Ingle, JI. and Bakland LK. Endodontics, Fourth Edition a 1994, with permission from Williams & Wilkins. access preparations What is the shape of the access preparation for the mandibular central incisor, lateral incisor, and canine? What is the respective length and number of canals for each tooth? 2 copyright 0 2013-2014- Dental Decks ENDODONTICS Mandibular Central Mandibular Lateral Mandibular Canine Incisor Incisor Access Opening Access Opening Access Opening Mandibular Central Mandibular Lateral Mandibular Canines Incisors Incisors Average 26 mm Average 21-22 min Average 21-22 m/11 Length Length Length Shape of Oval Shape of Oval Shape of Oval A.O. A.O. Canal One canal 94% Canal One canal Canal One canal Two canals One foramen 70% One foramen 56% Two foramens 6% Two canals Two canals One foramen 24% One foramen 14% Two canals Two canals Reprinted from Ingle, 11, and Bakland LK. Two foramens 6% Two foramens 30% Endodontics, Fourth Edition 5 1994, with permission from Williams & Wilkins. access preparations What is the shape of the access preparation for a maxillary first and second premolar? What is the respective length, number of roots, and number of canals for each tooth? 3 copyright 0 2013-2014 - Dental Decks ENDODONTICS Maxillary First Premolar Access Opening Maxillary Second Premolar Access Opening Maxillary First Premolars Average 20-22 mm Maxillary Second Premolars Length Average 21-22 mm Shape of Oval Length A.O. buccal-lingual Shape of Oval Roots One 22% A.O. buccal-lingual Two 78% Canal One canal Canal One canal One foramen 75% One foramen 9% Two canals Two canals One foramen 13% Two foramens 24% Two canals Three canals 1% Two foramens 72% Three canals Reprinted from Ingle, JI, and Bakland LK. Endodontics, Fourth Edition Three foramens 6°A a 1994, with pennission from Williams & Wilkins. access preparations What is the shape of the access preparation for a mandibular first and second premolar? What is the respective length, number of roots, and number of canals for each tooth? 4 copyright D 2013-2014 - Dental Decks ENDODONTICS Mandibular First Premolar Mandibular Second Premolar Access Opening Access Opening Mandibular First Premolars Mandibular Second Premolars Average 21 -2 3 mm Average 22 mm Length Length Shape of Oval Shape of Oval A.O. A.O. Canal One canal Canal One canal One foramen 73% One foramen 86% Two canals Two canals One foramen 7% One foramen 2% Two canals Two canals Two foramens 20% Two foramens 12% Reprinted from Ingle. JI. and Hakland LK. Endodontics, Fourth Edition 5 1994, with permission fron Williams & Wilkins. access preparations What is the shape of the access preparation for a maxillary first and second molar? What are the respective root lengths, number of roots, and number of canals for each tooth? 5 copyright O 2013-2014 - Dental Decks ENDODONTICS Maxillary First Molar Maxillary Second Molar Access Opening Access Opening Maxillary First Molars Maxillary Second Molars Average MB — 19.9 mm Average MB — 20.2 mm Length DB — 19.4 mm Length DB — 19.4 mm Palatal — 20.6 mm Palatal — 20.8 mm Shape of Triangular Shape of Triangular A.O. Base at buccal cusps A.O. Base at buccal cusps Canal Three canals 42% Number Three 54% Four canals 56% of Roots Fused 46% Five canals 2% Canals in One canal Canals in One canal the MB One foramen 42% the MB One foramen 63% Root Two canals Root Two canals One foramen 40% One foramen 13% Two canals Two canals Two foramens 18% Two foramens 24% Reprinted from Ingle. B. and Bakland LK. Endodontics, Fourth Edition 5 1994, wi It permission from Williams & Wilkins. access preparations What is the shape of the access preparation for a mandibular first and second molar? What are the respective root lengths, number of roots, and number of canals for each tooth? 6 copyright (0 2013-2014 - Dental Decks ENDODONTICS Mandibular First Molar Mandibular Second Molar Access Opening Access Opening Mandibular First Molars Mandibular Second Molars Average Mesial — 20.9 mm Average Mesial 20.9 mm Length Distal — 20.9 mm Length Distal 20.8 mm Shape of A.O. Trapezoidal Shape of A.O. Trapezoidal Roots Two 98% Three 2% Canals Canals Two canals 6% Mesial Distal Three canals 65% One canal Four canals 29% One foramen 13% 92% Canals Two canals Mesial Distal One foramen 49% 5% Two canals One canal 72% Two canals One foramen 41% Two canals 28% Two foramens 38% 3% Two canals Two canals Two foramens 59% One foramen 62% Two canals Reprinted from Ingle, JI, and Bakland LK. Endodontics, Fourth Two foramens 38% Edition z 1994, with permission from Williams & Wilkins. diagnostic methods/terminology Which of the following is a clinical diagnosis based on subjective and objec- tive findings indicating that the vital inflamed pulp is incapable of healing and has the following additional descriptors: lingering thermal pain, sponta- neous pain, and referred pain? • reversible pulpitis • asymptomatic irreversible pulpitis • symptomatic irreversible pulpits • none of the above 7 copyright © 2013-2014 - Dental Decks ENDODONTICS • symptomatic irreversible pulpitis Very Important: The AAE Glossary of Endodontic Terms is used in reference to endodontic pathoses. In May 2012, the endodontics diagnostic terminology adopted by the American Association of En- dodontists as described in the December 2009 Journal of Endodontics [Volume 35, Number 12, p. 1634], will be incorporated in the NBDE Part II. AAE Consensus Conference Recommended Diagnostic Terminology Pulpal: Normal Pulp A clinical diagnostic category in which the pulp is symptom-free and normally responsive to pulp testing. Reversible Pulpitis A clinical diagnosis based upon subjective and objective findings indicating that the inflammation should resolve and the pulp return to normal. Symptomatic A clinical diagnosis based on subjective and objective findings indicating that Irreversible the inflamed pulp is incapable of healing. Additional descriptors: Lingering Pulpitis thermal pain, spontaneous pain, referred pain. Asymptomatic A clinical diagnosis based on subjective and objective findings indicating that Irreversible the vital inflamed pulp is incapable of healing. Additional descriptors: No Pulpitis clinical symptoms but inflammation produced by caries, caries excavation, trauma, etc. Pulp necrosis A clinical diagnostic category indicating death of the dental pulp. The pulp is usually nonresponsive to pulp testing. Previously A clinical diagnostic category indicating that the tooth has been endodontically Treated treated and the canals are obturated with various filling materials other than intracanal medicaments. Previously A clinical diagnostic category indicating that the tooth has been previously Initiated Therapy treated by partial endodontic therapy (e.g., pulpotomy, pulpectomy). diagnostic methods/terminology Which of the following is an inflammatory reaction to pulpal infection and necrosis characterized by rapid onset, spontaneous pain, tenderness of the tooth to pressure, pus formation and swelling of associated tissues? • symptomatic apical periodontitis • acute apical abscess • chronic apical abscess • asymptomatic apical periodontitis 8 copyright 0 2013-2014 - Dental Decks ENDODONTICS • acute apical abscess Very Important: The AAE Glossary of Endodontic Terms is used in reference to endodontic pathoses. In May 2012, the endodontics diagnostic terminology adopted by the American Association of En- dodontists as described in the December 2009 Journal of Endodontics [Volume 35, Number 12, p. 1634], will be incorporated in the NBDE Part II. AAE Consensus Conference Recommended Diagnostic Terminology Apical: Normal Apical Teeth with normal periradicular tissues that are not sensitive to percussion or Tissues palpation testing. The lamina dura surrounding the root is intact and the periodontal ligament space is uniform. Symptomatic Inflammation, usually of the apical periodontium, producing clinical symptoms Apical including a painful response to biting and/or percussion or palpation. It may or Periodontitis may not be associated with an apical radiolucent area. Asymptomatic Inflammation and destruction of apical periodontium that is of pulpal origin, Apical appears as an apical radiolucent area, and does not produce clinical symptoms. Pcriodontitis Acute Apical An inflammatory reaction to pulpal infection and necrosis characterized by Abscess rapid onset, spontaneous pain, tenderness of the tooth to pressure, pus formation and swelling of associated tissues. Chronic Apical An inflammatory reaction to pulpal infection and necrosis characterized by Abscess gradual onset, little or no discomfort, and the intermittent discharge of pus throu gh an associated sinus tract. Condensing
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