Endodontics: Infection Control and Coronal Seal

Q1
What is an amalcore?
A) An amalgam restoration that enters and plugs the canal orifice(s)
B) A cast post with an amalgam on top of it
C) A pinned amalgam core for a crown
D) An amalgam that covers the entire occlusal surface of the tooth

Q2
Why is infection control so especially important in endodontics ?
A) To prevent cross-infection of the operator and nurse
B) To allow healing of the peri-radicular tissues
C) To prevent the patient picking up infection from previous patients
D) To reduce New Variant CJD transmission

Q3
What is meant by aseptic technique?
A) Working in a field as near sterile as possible
B) Limiting infection to the patient's own oral bacteria
C) Ensuring all micro-organisms are removed or killed as part of the procedure
D) Not introducing any micro-organisms to the canal that weren't already there before you started

Q4
Which is NOT a function of Rubber Dam?
A) Preventing saliva contamination
B) Improving visibility
C) Confining excess irrigants
D) Making access to the pulp chamber easier
E) Improving patient comfort
F) Reducing medicolegal liability

Q5
True or false? Excellent mechanical instrumentation will remove virtually all the infected
tissue from the root canal system.
A) True
B) False

Q6
What strength of Sodium Hypochlorite (bleach) is used for canal irrigation?
A) 1%
B) 2%
C) 5%
D) 10%
E) 20%
F) 50%

Q7
What intra-canal medication should normally be placed in the canal between visits?
A) Ledermix (combined anti-biotic and anti-inflammatory)
B) Hypocal
C) Dycal or Life
D) Para-chloro-mono-phenol (PCMP)
E) Paper point

Q8
When irrigating with bleach, how far should the needle be inserted?
A) Into the pulp chamber only
B) 7mm from the apex
C) To the point just before it just binds on the canal walls, but must be short of the working length
D) to the working length

Q9
Which of these does bleach NOT do?
A) Lubricate the canal
B) Dissolve organic debris
C) Kill bacteria
D) Wash out debris
E) Dissolve sclerosed dentine

Q10
What needle is used for delivering bleach when irrigating a canal?
A) Side venting wide bore
B) Side venting narrow bore
C) End venting wide bore
D) End venting narrow bore

Q11
About how long does it take bacteria contacting the coronal end of a very well
condensed root filling to penetrate through it to the apex?
A) 1 day max
B) 1 week max
C) 6 weeks max
D) 6 months max
E) Many years

Q12
If you can't get dam onto a tooth for root treatment, which solution is unacceptable?
A) Restore the tooth first to enable dam placement, then drill access through the new restoration
B) Crown lengthening by electrosurgery
C) Working without dam
D) Restoring with a copper band
E) Placing the dam clamp beaks directly onto the gingiva

Q13
Which of these is NOT true when Vitrebond is used as a canal orifice sealant
A) Hard to identify if re-treatment is needed
B) May not be fully set all the way through
C) Doesn't bond well to dentine

Q14
What is a hermetic seal, as applied to endodontics?
A) Airtight
B) Waterproof
C) Saliva can't pass
D) Micro-organisms can't pass
E) All of these

Q15
If a patient has gingival recession, how far should the gutta percha be trimmed back
before sealing the coronal?
A) 1mm below the level of the recession
B) 1mm below the ACJ
C) 1mm below the canal opening
D) 1mm below the roof of the pulp chamber

Q16

If a patient has NO gingival recession, how far should the gutta percha be trimmed back
before sealing the coronal?
A) 1mm below the level of the recession
B) 1mm below the ACJ
C) 1mm below the canal opening
D) 1mm below the roof of the pulp chamber

Q17
If you choose to temporarily seal the access cavity of a tooth with Kalzinol, how thick
should it be?
A) 1 mm
B) 2 mm
C) 3 mm
D) 4 mm

Q18
Which of these is the best material as a temporary dressing for an access cavity after
endo is completed ?
A) Life or Dycal
B) Chemfil
C) Kalzinol
D) Poly-F

Q19
Which of these pulp locations can be removed mechanically?
A) Lateral Canals
B) Pulp horns
C) Cul-de-sacs (dead ends)
D) Apical Ramifications
E) Isthmi
F) Concavities

Q20
To control infection during endo, the files must be cleaned between uses. How?
A) Dry gauze in a ring holder
B) Gauze dampened with water
C) Gauze dampened with bleach
D) Gauze dampened with Chlorhexidine

Answers

1a,2b,3d,4d,5b,6c,7b,8c,9e,10b,11c,12c,13c,14e,15a,16b,17c,18d,19b,20c