MDS PREP
Moderate extrusion of obturating material and sealer beyond the apex is undesirable because
1. The prognosis is poor
2. There is likelihood of postoperative discomfort
3. Sealer is usually not resorbed and gutta-percha may cause severe perirdicular reaction in periapical tissue
4. All of the above
Endodontics
Answer: 4
When moderate extrusion of obturating material and sealer beyond the apex
occurs, it is undesirable for several reasons. While it does not necessarily
mean the prognosis is poor, there is a higher likelihood of postoperative
discomfort due to the potential for chemical irritation of the periapical
tissues. Additionally, if the sealer is not resorbed, it may cause a foreign
body reaction, and gutta-percha extrusion can sometimes lead to severe
periradicular reactions. The best approach in such a case is to obturate the
remaining canal up to the point of obstruction and observe the patient's
symptoms and healing response.
The principal cone of gutta-percha used for condensation should
1. Fit exactly at apex
2. Have a definite apical seal
3. Fit loosely in the canal
4. Be 2 mm from the apex
Endodontics
Answer: 2
In endodontics, the primary goal of using gutta-percha is to achieve a proper seal at the apex of the root canal system. A definite apical seal is crucial to prevent the ingress of bacteria and fluids, which can lead to reinfection. While the cone should fit well within the canal, the emphasis is on achieving a good seal rather than merely fitting exactly at the apex or being 2 mm from it.
Which of the following fractures of tooth was poorest prognosis
1) Horizontal fractures at gingival level
2) Vertical root fractures
3) Horizontal fractures at apical third of root
4) Horizontal fractures at middle third or root
Endodontics
Answer: 2
Vertical root fractures are often associated with a poor prognosis because they can lead to significant loss of tooth structure and are difficult to treat. They typically result in the need for extraction, especially if they extend into the periodontal ligament or if the fracture is not detected early.
Term "apical collar" (or) "apical seat" refers to
1. Resistance form of canal preparation
2. Located in apical 2 mm with parallel walls
3. Mechanically prepared portion of root canal
4. All of the above
Endodontics
Answer: 4
Stabilisation of avulses tooth requires
1) 1-2 weeks
2) 2-3 weeks
3) 4-6 weeks
4) More than 6 weeks
Endodontics
Answer: 1
The stabilization of an avulsed tooth typically requires a period of 1-2 weeks. During this time, the tooth is often replanted and stabilized to allow for healing and reattachment of the periodontal ligament.
According to WHO nomenclature of pulp injuries, "avulsion" is classified of pulp injuries as
1. 873.60
2. 873.61
3. 873.68
4. 873.69
Endodontics
Answer: 2
Explanation: In the WHO classification, avulsion refers to the complete
displacement of a tooth from its socket, and it is classified under 873.61. This
classification is crucial for understanding the severity of the injury and
determining the appropriate treatment.
The length of the instrument used for endodontic implants is
1) 25 mm
2) 28 mm
3) 21 mm
4) 40 mm
Endodontics
Answer: 4
Endodontic instruments, particularly those used for root canal treatment and
implants, typically have a length of around 40 mm. This length allows for
adequate reach into the root canals of most teeth, which can vary in depth.
Instruments shorter than this may not effectively reach the apical areas of the
root canals.
Flare-ups during root canal treatment are commonly associated with which of the following
1. Teeth with vital pulp tissue compared to teeth with pulpal necrosis
2. Teeth with apical radiolucencies when compared to teeth with normal periapical tissue
3. With single-visit endodontics procedures
4. Symptomatic teeth exhibiting pulp necrosis
Endodontics
Answer: 4
Explanation: Flare-ups are more frequently observed in symptomatic teeth with
pulp necrosis due to the inflammatory response and the complexity of the root
canal system. This can lead to increased discomfort and complications during
treatment, necessitating careful management.