Two central incisors on a radiograph are showing with what looks like eye drop radiolucency. You  decided to start endodontic treatment on these teeth but when you tried to open access to the root  canal you find clearly closed orifices with what look like secondary dentine. What is your initial  management?
A. Leave as it and start a permanent restoration.
B. Start systemic antibiotic
C. Try to ream and file canals

1 Answer

Answer :

C. Try to ream and file canals

Related questions

Description : What indicates for a periapical surgery: A. Where performing an endodontic treatment on existing root canal filling may lead to fracture of the root B. When root canal treatment is faulty C. When ... bony defect is so extensive that the edges of the incisors will collapse E. None of the above

Last Answer : A. Where performing an endodontic treatment on existing root canal filling may lead to fracture of the root

Description : X rays are used in endodontic treatment to: A. Aid in the diagnosis of periapical hard tissue lesion B. Determine the number, location, shape, size and direction of roots and root canals C. Confirm ... root canals D. Evaluate the adequacy of the complete root canal filling E. All of the above

Last Answer : E. All of the above

Description : cyst at the apex of an upper central incisor measuring 1 cm in diameter is visualized in radiograph and confirmed by aspiration biopsy; which method of treatment would you consider?** ... bone, followed by endodontic treatment. E. Routine orthograde endodontic treatment followed by observation.

Last Answer : D. Making a mucoperiosteal flap and removing the cyst through an opening made in the alveolar bone, followed by endodontic treatment.

Description : The prognosis of teeth with apical resorption is : A. Poor B. Good if apex can be sealed C. Dependant upon periapical surgery D. Contingent upon systemic antibiotic therapy combined with treatment of the canal

Last Answer : B. Good if apex can be sealed

Description : On an X ray you find the cement of the previous root canal treatment is extending 1mm beyond the apex without any symptoms; what would you do: A. Remove restoration material and retreat B. Apiectomy C. Leave as is until any complications occur

Last Answer : C. Leave as is until any complications occur

Description : A child with a fracture of a tooth at the apical third of the root, what would be your first decision: A. Wait and recall after one month and observe for any necrotic or radiolucency B. Root canal treatment C. Extraction D. Apiectomy

Last Answer : A. Wait and recall after one month and observe for any necrotic or radiolucency

Description : In regard to external resorption:** A. Continues after successful endo treatment B. Stops in most cases following successful endodontic treatment C. Continues only in mandibular incisors after ... D. Stops in maxillary lateral incisors after successful endodontic treatment E. None of the above

Last Answer : B. Stops in most cases following successful endodontic treatment

Description : While you finish a class I cavity, the enamel is sound but you notice a brown line in the dentine and on the Dento-enamel junction, what is your response, A. You leave it and complete the final restoration B. You extend your preparation and clean it C. You apply a cover of varnish

Last Answer : B. You extend your preparation and clean it

Description : An endodontic therapy was completed on a tooth with a periapical radiolucency. Marked reduction in size of radiolucency is expected in approximately: A. One year B. 6 months C. 3 months

Last Answer : A. One year

Description : At birth, some calcified dental tissues are presented, a.All deciduous teeth and all permanent incisors. b.All deciduous teeth and permanent central incisors. c.All deciduous teeth and the first permanent molars. d.Deciduous teeth only.

Last Answer : c.All deciduous teeth and the first permanent molars.

Description : At birth, some calcified dental tissues are presented, M07 ******* A. All deciduous teeth and all permanent incisors B. All deciduous teeth and permanent central incisors C. All deciduous teeth and the first permanent molars D. Deciduous teeth only

Last Answer : C. All deciduous teeth and the first permanent molars

Description : Which of the following is a radiographic feature of dentino-genesis imperfecta: A. Small pulp chambers and root canals, normal enamel B. Enamel is missing but dentine formation is normal C. Enamel and dentine show disturbances D. Pulp is normal but dentine is abnormal

Last Answer : A. Small pulp chambers and root canals, normal enamel

Description : A female patient comes to you complaining of persistent pain in a heavily restored central incisor; you suspect pulpitis and you have been told that she is in transit leaving by plane ... B. Pulp extirpation and obturate with Ledermix dressings C. Prescribe analgesics and systemic antibiotic

Last Answer : B. Pulp extirpation and obturate with Ledermix dressings

Description : To achieve optimum cavity preparation, which of the following factors of internal anatomy must be considered in root canal treatment: A. Outline form B. The age and shape of pulp chamber; in ... root canals. C. Internal external relationship D. Intra-coronal preparation E. None of the above

Last Answer : B. The age and shape of pulp chamber; in addition to the direction of individual root canals.

Description : The most common cause of RCT “Root Canal Treatment” failure is: A. The canal not filled completely (Short obturation) B. Over filled canals

Last Answer : A. The canal not filled completely (Short obturation)

Description : An upper deciduous molar has a caries exposure and on X ray the corresponding 2nd permanent premolar is absent. What treatment would you do to the deciduous tooth: A. Pulpotomy B. Endodontic treatment C. Pulp capping

Last Answer : B. Endodontic treatment

Description : The surface of enamel rod prisms in permanent teeth is: A. Perpendicular to the outer surface of the tooth B. Parallel to the outer surface of the tooth C. Parallel to enamel contour D. Parallel to enamel-dentine contour

Last Answer : A. Perpendicular to the outer surface of the tooth

Description : After the initial development stage and in the absence of pathology, the size of the pulp chamber has been reduced by, A. Deposition of primary dentine B. Deposition of secondary dentine C. Reparative dentine D. Pulp fibrosis E. Deposition of reparative dentine

Last Answer : B. Deposition of secondary dentine

Description : What is the main function of EDTA in endodontics? A. Decalcification of dentine B. Cleaning debris from root canal

Last Answer : A. Decalcification of dentine

Description : The concomitant perio-periapical lesion as the cause of endodontic failure: A. Cannot be discovered prior to endo treatment B. May be discovered prior to endo treatment C. Is most commonly found in maxillary teeth D. Is most commonly found in mandibular teeth E. None of the above

Last Answer : B. May be discovered prior to endo treatment

Description : The most common reason to refer a child to a pedodontist is problems with: A. Rampant caries B. Behaviour management C. Endodontic treatments in primary teeth D. Space maintainers

Last Answer : B. Behaviour management

Description : During mouth preparation for RPD on tooth adjacent to edentulous area. There is dentine exposure: A. Restoration is required B. Proceed with rest seat preparation and fabrication if involved area is not more than 2mm

Last Answer : A. Restoration is required

Description : Absence of clearly defined crystal lamina dura is because: A. Pathognomonic of periodontal disease B. Indicative of attachment loss C. Associated with periodontal pocket D. Commonly related to radiograph angulation

Last Answer : D. Commonly related to radiograph angulation

Description : Internal resorption is, A. Radiolucency over unaltered canal B. Usually in a response to trauma C. Radiopacity over unaltered canal

Last Answer : B. Usually in a response to trauma

Description : The MOST frequently retained deciduous teeth in A. Upper lateral incisors B. Upper central incisors C. Lower central incisors D. Second lower molars E. Second upper molars

Last Answer : D. Second lower molars

Description : What is true in regard to lateral mandibular incisors A. 20% have 2 canals with one foramen B. 20% have 2 canals with two foramina C. 40% have two canals with 10% ending in two foramina D. 40% have two canals with only one ending in two foramina

Last Answer : D. 40% have two canals with only one ending in two foramina

Description : The initial priority in treatment of horizontal fractures is: A. Preservation of pulp B. Immobilisation C. Root canal treatment D. Calcium hydroxide treatment

Last Answer : B. Immobilisation

Description : Mesiobuccal root of maxillary first molars MOST COMMONLY have: A. One canal with one foreman B. One or two canals with one foreman C. Two canals with one foreman D. Two canals with two foramen

Last Answer : D. Two canals with two foramen

Description : 18 years old female weighting 52Kg and 163cm tall. On dental examination erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history revealed a daily rate of 5000 to 7000 ... . Alcoholism B. Drug abuse C. Bulimia D. Excessive smoking E. Diabetic mellitus type I

Last Answer : C. Bulimia

Description : Following trauma to tooth, the next day there was no response to pulp tests you should?* A. Review again later B. Start endodontic treatment C. Extraction of tooth

Last Answer : A. Review again later

Description : A young patient has all incisors, some premolars and some canines erupted but no 2nd molars are showing: What is his age? A. 8 years B. 11 years C. 13 years D. 14 years

Last Answer : B. 11 years

Description : What is present in Angle’s class II division 2 malocclusion: A. Open bite B. Retrusion of maxillary central incisors C. Reduced Overjet D. Increased overbite

Last Answer : B. Retrusion of maxillary central incisors

Description : How long would it take to notice significant reduction in radiolucency after finishing a root filling in a tooth with a periapical lesion: A. 6 months B. 1 month C. 3 months

Last Answer : A. 6 months

Description : The lamina dura is seen on periapical radiographs as:CHECK A. Usual radiolucency between tooth root and surrounding bone as a thin white line. B. Cribriform plate of bone making the ... bone consistent with a healthy periodontal status D. Pattern of radiopaque lines in supporting alveolar bone

Last Answer : B. Cribriform plate of bone making the tooth socket

Description : An 8 years-old child who has sustained a fracture of maxillary permanent central incisor in which 2mm of the pulp is exposed presents for treatment three hours after injury. Which of the ... - Pulpotomy using formocresol. d- Pulpectomy and immediate root filling. e- Pulpectomy and apexification.

Last Answer : a- Remove the surface 1. 2 mm of pulp tissue and place calcium hydroxide

Description : 8 years old child who has sustained a fracture of maxillary permanent central incisor in which 2mm of the pulp is exposed; presents for treatment three hours after injury. Which of the ... C. Pulpotomy using formocresol D. Pulpectomy and immediate root filling E. Pulpectomy and apexification

Last Answer : A. Remove the surface 1-2 mm of pulp tissue and place calcium hydroxide (Cvek pulpotomy, apexogenesis)

Description : A 68-year-old male who underwent a repair of an abdominal aortic aneurysm 5 days ago, develops tachycardia, tachypnea, hypotension with cool, pale, mottled cyanotic extremities. He ... use of moderate doses of inotropic agents e. Afterload reduction with nitroprusside is absolutely contraindicated

Last Answer : Answer: a, b, d Intrinsic cardiogenic shock results from failure of the heart as an effective pump. Coronary artery disease is the most common cause of myocardial ... hemodynamic monitoring. Infusion of afterload-reducing agents can be administered in conjunction with inotropic support

Description : As far as surgical removal of wisdom teeth is concerned which of the following is true? a- Prophylactic prescription of antibiotic reduces dramatically the chances of infection. b- Raising a lingual ... e- The use of vasoconstrictors in local anaesthetics will increase the chances of infection.

Last Answer : b- Raising a lingual flap will increases the incidence of neurapraxia but will reduce the incidence of neurotmesis with respect to the lingual nerve.

Description : As far as surgical removal of wisdom teeth is concerned, which of the following is true?**CHECK A. Prophylactic prescription of antibiotic reduces dramatically the chances of infection B. Raising ... root E. The use of vasoconstrictors in local anaesthetics will increase the chances of infection.

Last Answer : C. Prophylactic prescription of dexamethasone will dramatically reduces post operative swelling

Description : Two successive negative cultures are: A. Absolutely necessary for successful endodontic treatment B. Not always necessary for successful endodontic treatment C. Not questioned today as a dogmatic ... D. Unquestioningly it adhered for successful endodontic treatment E. None of the above

Last Answer : B. Not always necessary for successful endodontic treatment

Description : The most desirable outcome of endodontic treatment is, A. The healing of the alveolar bone B. The deposition of cementum at the apex C. Formation of fibrous capsule around the apex

Last Answer : B. The deposition of cementum at the apex

Description : The BEST treatment for alveolar abscess:******** A. Endontic treatment or extraction B. Incision and drainage alone C. Extraction D. Endodontic

Last Answer : A. Endontic treatment or extraction

Description : In testing for mobility, which of the following statement is true:** M07 A. Heavy pressure must sometimes be used to test mobility B. Only lateral mobility is significant in ... examination each tooth should be tested individually for hyper mobility E. Reliance on radiograph is essential

Last Answer : D. During the periodontal examination each tooth should be tested individually for hyper mobility

Description : Which primary teeth are LEAST affected with the nursing bottle syndrome? A. Maxillary molars B. Maxillary and mandibular canines C. Mandibular incisors D. Maxillary incisors E. Mandibular molars

Last Answer : C. Mandibular incisors

Description : Calculus attaches to teeth surfaces by: A. Acquired pellicle B. Interlocking to the crystals of the tooth C. Penetrated into enamel and dentine D. Mechanical interlocking E. All of the above

Last Answer : E. All of the above

Description : The gingival portion of natural teeth differs in colour from the incisal portion because the : A. Lighting angle is different B. Gingival and incisal portions have different fluorescent qualities C. Gingival area has a dentine background D. Incident light is different

Last Answer : C. Gingival area has a dentine background

Description : All of the following should be considered for systemic antibiotic except: A. Extraction of tooth with acute dento alveolar abscess B. Necrotic ulcerative gingivitis (ANUG) unless it is acute. C. ... of 38 or 48 with acute pericoronitis D. Full mouth extraction for a patient with perio disease

Last Answer : B. Necrotic ulcerative gingivitis (ANUG) unless it is acute.

Description : Exposure of the patient to ionising radiation when taking a radiograph is NOT REDUCED by: A. The use of fast film B. The addition of filtration C. Collimation of the beam D. The use of an open and lead lined cone E. Decreasing the kilovoltage KvP

Last Answer : E. Decreasing the kilovoltage KvP