MDS PREP
The filling of choice for primary root canals
1. ZOE
2. Calcium hydroxide
3. Gutta-percha
4. Chlorpercha
Endodontics
Answer: 1
Zinc oxide eugenol is commonly used as a filling material for primary root canals due to its biocompatibility and sealing properties.
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.
Endodontically treated posterior teeth are more susceptible to fracture that untreated posterior teeth. The best explanation for this is
1. Moisture loss
2. Loss of root vitality
3. Plastic deformation of dentin
4. Destruction of the coronal architecture
Endodontics
Answer: 4
Loss of Coronal Structure: During endodontic treatment, the
coronal portion of the tooth may be significantly altered or reduced, especially
if there is extensive decay or if a crown is required after treatment. The loss
of tooth structure compromises the tooth's ability to withstand occlusal forces.
Enlargement of the calcified canals is done with
1. EDTA
2. Calcium hydroxide
3. Sodium hypochlorite
4. Sodium chloride
Endodontics
Answer: 1
EDTA (ethylenediaminetetraacetic acid) is a chelating agent commonly used in endodontics to remove the smear layer and facilitate the enlargement of calcified canals. It helps in dissolving inorganic components of the dentin, making it easier to access and clean the root canal system.
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
Explanation: Furcation perforations occur in the area where the roots of a multi-rooted tooth diverge. These perforations are particularly challenging to manage because they can lead to periodontal disease and loss of attachment in the furcation area. The prognosis is poor due to the difficulty in achieving adequate sealing and maintaining periodontal health in this area, making it more susceptible to infection and further complications.
Sonic and ultrasonic instruments have in common
1) Used for flaring coronal portion of root-canal
2) Use copious amounts of irrigating solutions
3) Easy to control while operating
4) All of the above
Endodontics
Answer: 2
Both sonic and ultrasonic instruments are used in dental procedures, particularly in endodontics and scaling. They generate vibrations that help in the removal of debris and biofilm. A key feature of these instruments is that they require the use of copious amounts of irrigating solutions to enhance their effectiveness, cool the instrument, and flush out debris. While they may also be used for flaring coronal portions of root canals and can be controlled during operation, the commonality that stands out is the need for irrigating solutions.
The success of a root canal filling is best assessed
1. Clinical observation
2. Size of gutta-percha cone used
3. Radiographs
4. By the diameter of root canal reamer
Endodontics Answer: 1
The success of a root canal filling is primarily assessed through clinical
observation, which includes monitoring for signs of pain, swelling, and
infection. While radiographs and the size of the gutta-percha cone used can
provide additional information, the ultimate determinant of success is the
patient's symptom resolution and the absence of pathology.
In class III Ellis fracture
1. Only enamel is involved
2. Enamel and dentin are involved
3. Enamel,dentin and pulp are involved
4. Non-vital pulp
Endodontics
Answer: 3
Class III: Enamel-Dentin-Pulp Fracture
Description: Involves enamel, dentin, and exposes
the pulp.
Endodontic Consideration: This type of fracture
typically requires endodontic treatment (root canal therapy) to manage
the exposed pulp and prevent infection. The prognosis depends on the
extent of the fracture and the vitality of the pulp.