Cohen's Pathways of the Pulp Expert Consult - E-Book: Chapter 7: Obturation of the Cleaned and Shaped Root Canal System Flashcards

What four factors influence success of primary root canal treatment?

What four factors influencing the appropriate time to obturate a tooth?

___ has been advocated as an antimicrobial and temporary dressing in necrotic cases that cannot be treated in one visit.

What are two contraindications to obturation following cleaning and shaping?

The apical anatomy consists of the major diameter of the ___ and the minor diameter of the ___ . (Kuttler)

The average distance from the apical foramen to the apical constriction was found to be ___ mm. (Kuttler)

Canals filled to the radiographic apex reflect an _____ of the obturating material.

During the cleaning and shaping process, organic pulpal materials and inorganic dentinal debris accumulate on the canal wall, producing a ___.

The smear layer is superficial with a thickness of ___ µm. This superficial debris can be packed into the dentinal tubules to various distances.

What are four possible disadvantages of the smear layer during obturation?

After the completion of cleaning and shaping procedures, removal of the smear layer is generally accomplished by irrigating the canal with ___ and ___.

The recommended time for removal of the smear layer with 17% EDTA is ___ minutes.

What five categories should be considered in radiographic criteria for evaluating obturation?

___ are necessary to seal the space between the dentinal wall and the obturating core interface.

What are the properties of an ideal sealer?

Regardless of the sealer selected, all exhibit ___ until they have set. For this reason, extrusion of sealers into the periradicular tissues should be avoided.

___ sealers exhibit a slow setting time, shrinkage on setting, solubility, and they can stain tooth structure. An advantage to this sealer group is antimicrobial activity.

___ sealers were developed for therapeutic activity. It was thought that these sealers would exhibit antimicrobial activity and have osteogenic–cementogenic potential.

Developed from a periodontal dressing, ___ is a root canal sealer without the irritating effects of eugenol.

___ sealers have been advocated for use in obturation because of their dentin-bonding properties. A disadvantage is that they must be removed if retreatment is required and have minimal antimicrobial activity.

___ sealers have a long history of use, provide adhesion, and do not contain eugenol. There are two major categories: epoxy–based and methacrylate–based sealers.

___ sealers fills canal irregularities with consistency and are biocompatible, but the setting time is inconsistent and may be delayed by final irrigation with sodium hypochlorite.

___ sealers are a new category of based on mineral trioxide aggregate (MTA).

Sealers containing___, which were advocated for use by Sargenti, are strongly contraindicated in endodontic treatment.

What are the properties of an obturation material?

Jasper introduced cones made of___. Although their rigidity made them easier to place and permitted more predictable length control; their inability to fill the irregularly shaped root canal system permitted leakage and they were susceptible to corrosion.

___ is the most popular core material used for obturation. Major advantages are its plasticity, ease of manipulation, minimal toxicity, radiopacity, and ease of removal with heat or solvents. Disadvantages include its lack of adhesion to dentin and, when heated, shrinkage upon cooling.

In the unheated ___ phase, gutta-percha is a solid mass that is compactable.

When heated, gutta-percha changes to the ___ phase and becomes pliable and tacky and can be made to flow when pressure is applied.

Gutta-percha cones consist of approximately 20% ___, 65% ___, 10% ___, and 5%.

The α form of gutta-percha melts when heated above ___°C.

Nonstandard nomenclature for gutta-percha cones refers to the dimensions of the tip and body. A fine-medium cone has a ___ tip with a ___ body.

Standardized gutta-percha are designed to match the taper of stainless steel and nickel-titanium instruments. A size 40, 0.04 taper cone has a tip of ___ mm and a taper of ___ mm per millimeter.

Activ GP (Brasseler USA) consists of gutta-percha cones impregnated on the external surface with ___.

Resilon is a high-performance industrial ___ that has been adapted as an alternative to gutta-percha.

When the apical foramen is excessively large or the prepared root canal system is large, a ___ cone may need to be fabricated.

Briefly describe the lateral compaction method of obturation.

When the master cone is placed in the canal, if an appropriate size is selected, there will be ___.

If the master cone is loose at the working length, then it can be adapted by ___.

If the master cone fails to go to the prepared length, than a ___ should be selected.

After the spreader has been placed to its maximum depth, it is removed by ___ as it is withdrawn.

Only light pressure is required during lateral compaction because the gutta-percha is not condensed, and because as little as ___ kg of pressure is capable of fracturing a root.

Briefly describe the warm vertical compaction method of obturation.

Because the critical level of root surface heat required to produce irreversible bone damage is believed to be greater than ___°C, caution should be exercised with the Touch 'n Heat and flame-heated carriers.

Warm thermoplastic techniques have the advantage of producing movement of the ___ gutta-percha within the obturated root canal system, resulting in a more ___ mass of gutta-percha, and filling irregularities and accessory canals better than lateral compaction.

Heating of gutta-percha outside the tooth and injecting the material into the canal is an additional variation of the ___ technique. The Obtura III, Calamus, Elements, HotShot, and Ultrafil 3D are available devices.

Thermoplastic techniques are often used in cases with significant ___.

___ was introduced as a gutta-percha obturation material with a solid core. Advantages included ease of placement and the pliable properties of the gutta-percha. Disadvantages were that the metallic core made placement of a post challenging and retreatment procedures were difficult.

___ is a carrier-based system associated with Ultrafil 3D; however, the gutta-percha used in this technique comes in a syringe.

___ is gutta-percha or Resilon manufactured for use after canal preparation with LightSpeed instruments.

Gutta-percha can be plasticized with solvents, such as ___, ___, or ___.

Apical barriers such as ___, ___, or ___ may be necessary in cases with immature apical development, cases with external apical root resorption, and cases where instrumentation extends beyond the confines of the root.

Leakage studies indicate that the coronal seal can be enhanced by the application of supplemental restorative materials over the canal orifice and by placing a definitive coronal restoration as soon as is feasible. ___ has traditionally been advocated as an acceptable material.