MDS PREP
The irrigating should used with ultrasonic instruments used for preparation of root canal is
1) Sodium hypochlorite
2) Normal saline
3) Hydrogen peroxide
4) Chloramine
Endodontics
Answer: 1
Sodium hypochlorite is commonly used as an irrigating solution with ultrasonic instruments in endodontic treatment for its antimicrobial properties. It helps in the cleaning and disinfection of the root canal system by removing organic debris and bacteria. Normal saline, hydrogen peroxide, and chloramine are also used as irrigants, but sodium hypochlorite is the most effective in eliminating bacteria.
While combining NaOCH and H2O2 as irrigants
1) H2O2 should be used last
2) NaOCH should be used last
3) First irrigation should be done by normal saline
4) NaOCH and H2O2 should never be used simultaneously
Endodontics Answer: 2
Because residual H2O2 might react with debris and produce gas that can cause continuous pain.
There is a real relationship between the incidence of fractured anterior teeth and the
1) Caries in those teeth
2) Hardness of the enamel
3) Hardness of the dentin
4) Protrusion of those teeth
Endodontics
Answer: 4
The protrusion of anterior teeth can increase the risk of fractures due to their position and exposure to occlusal forces. Protruded teeth are more susceptible to trauma and stress during biting and chewing, which can lead to fractures. Additionally, protruded teeth may not have adequate support from adjacent teeth, further increasing their vulnerability to fracture.
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.
Perforation which has poorest prognosis is one that occur at
1) Furcation
2) Apical third
3) Coronal third
4) Middle third of root
Endodontics
Answer: 1
Perforations that occur in the furcation area of multi-rooted teeth have the poorest prognosis due to the complexity of the anatomy and the difficulty in achieving adequate sealing and healing. Furcation involvement often leads to periodontal issues and complicates treatment options, making it more challenging to maintain the tooth.
Pulp exposures of crowns come under which class according to WHO nomenclature
1. 873.60
2. 873.61
3. 873.62
4. 873.63
Endodontics
Answer: 3
Explanation: According to the WHO classification of dental injuries, pulp exposures due to crown fractures are classified under 873.62. This classification helps in standardizing the terminology used in dental trauma, allowing for better communication and understanding among dental professionals.873.60 - Pulp Exposure due to TraumaThis code refers to cases where the pulp is exposed as a result of trauma to the tooth. It does not specify whether the pulp is vital or non-vital, but it indicates that there is a direct exposure of the pulp tissue.873.61 - Avulsion of ToothThis code is used for cases where a tooth has been completely displaced from its socket (avulsed). In avulsion cases, the pulp is typically exposed, and immediate re-implantation is critical for the best prognosis. This classification highlights the severity of the injury and the need for urgent treatment.873.62 - Crown Fracture with Pulp InvolvementThis code refers to fractures of the crown of the tooth that involve the pulp. It indicates that the fracture has extended into the pulp chamber, necessitating treatment such as root canal therapy.873.63 - Crown Fracture without Pulp InvolvementThis code is used for crown fractures that do not involve the pulp. In these cases, the injury is limited to the enamel and dentin, and the pulp remains intact.
Which condensation of gutta-percha, tip of the instrument is broken at apical third of canal. You would like to
1. Dissolve gutta-percha and retrieve the broken piece
2. Obturate remaining canal up to the point of obstruction, and observation
3. Do periapical surgery and apicectomy to remove broken piece
4. All of the above
Endodontics
Answer: 2
Finally, if the tip of the gutta-percha condensation instrument breaks in the
apical third of the root canal, the most common practice is to simply continue
with the obturation up to the point of obstruction. Attempting to dissolve the
gutta-percha or performing surgery to retrieve the broken piece may not be
necessary and can potentially cause further damage. Instead, the area is sealed,
and the body's natural healing processes are allowed to occur.
In Ellis classification of injured teeth a class IV represents
1. Non-vital tooth
2. Avulsed tooth
3. Fracture involving only the enamel
4. Fracture involving enamel and dentin but not pulp
Endodontics
Answer: 1
Explanation: Class IV in the Ellis classification indicates a fracture that has
resulted in pulp exposure, often leading to a non-vital tooth.
Class IV: Crown Fracture with Pulp Involvement
Description: Extensive fracture involving enamel, dentin, and pulp, often with significant loss of tooth structure.Endodontic Consideration: Endodontic treatment is necessary due to pulp exposure. The tooth may require additional restorative procedures after root canal therapy to restore function and aesthetics.