Procedural Accidents Endodontic Question And Answers

Procedural Accidents Important Notes

• Sodium hypochlorite extrusion into periradicular tissues causes
  • Immediate effects
    • Swelling
    • Pain
    • Ecchymosis
  • Long term effects
    • Paraesthesia
    • Scarring
    • Muscle weakness
    • Extrusion of hydrogen peroxide causing tissue emphysema

Procedural Accidents Short Essays

Question 1. Management of perforations.
Answer.

Management of nonfurcal cervical perforations:

• Hemorrhage control with 1:50,000 epinephrine followed by perforation repair with MTA
  Prevention:
• Study proper anatomy before proceeding with the treatment
• Remove all caries
• Repeated and thorough evaluation of radiographs is done

Management of cervical perforation in furcation area:

• Confirm the perforation through radiograph
• Electronic apex locator is used to differentiate a bleeding canal from perforation
• MTA is used for sealing perforation
  Prevention:
• Study preoperative radiographs and evaluate pulp chamber morphology
• Access bur penetration for depth and angulation should be confirmed
• Straight line access is obtained
• If crown is present remove it before access preparation
• Remove existing restorations if present

Read And Learn More: Endodontics Question and Answers

Question 2. Ledges.
Answer.

Ledges

It is an internal transporation of the canal which prevents positioning of an instrument to the apex in an otherwise patent canal.

Ledges Etiology:

• Curve canals
• Forceful instrumentation
• Failute to recapitutale
• Skipping of files

Ledges Features:

• Loss of tactile sensation
• Loosening of instrument

Ledges Treatment:

Ledges Prevention:

• Use of NiTi files
• Avoid of skipping of instruments
• Frequent irrigate
• Careful preparation

Procedural Accidents Short Questions And Answers

Question 1. Zipping.
Answer.

Zipping Definition:

• Zipping is defined as the apical transportation of a curved canal caused due to improper shaping technique

Zipping Features:

• Zip formation adopts an elliptical shape at the apical endpoint.
• Zipping is caused by using progressively larger and stiffer files to working length.
• It can result in a poorly cleaned root canal, which fails to provide a resistance form to compact gutta-percha, and leads to obturation which is vertically over-extended but internally under-filled.
• This contributes to leakage, infection, and failure.

Question 2. Masserann Kit.
Answer.

Masserann Kit

Device used to remove broken instruments from root canal

Masserann Kit Components:

• Flat gauge
• Extractor
• Stephan
• Handle

Masserann Kit Steps:

Procedural Accidents Viva Voce

• Brasseler endo extractor kit, Masserman kit, extractor system, and separated instrument retrieval system are used in retrieval of broken instruments from root canal

Endodontic Periodontal Relationship Short Essays

Question 1. Endo-Perio Lesion.

Endo-Perio Lesion: