#MCQ 21 - During the Master cone fitting procedure in the endodontic treatment of a patient's tooth, the patient says he has a "sharp shooting pain in the same tooth that ached earlier". What should be your response and why?

#MCQ 21- During the Master cone fitting procedure in the endodontic treatment of a patient's tooth, the patient says he has a "sharp shooting pain in the same tooth that ached earlier". What should be your response and why?

A. Continue with obturation, the anesthetic is simply wearing off
B. Continue with obturation, this is a normal complaint during this part of the procedure
C. Consider looking for an accessory canal and re-filing, there is likely pulpal tissue that has not been properly debrided
D. Irrigate further, the Sodium Hypochlorite should take care of this problem
E. Temporize the tooth and obturate at a later date

Answer: C. Consider looking for an accessory canal and re-filing, there is likely pulpal tissue that has not been properly debrided

This indicates inadequate debridement, as a pulpless tooth should not respond to any stimuli.
The most important consideration before filling a root canal is proper cleaning (debridement)and shaping (instrumenting) of the canal. Once the canal is obturated, any organisms
that have entered the periapical tissues from the canal are eliminated by the natural defenses
of the body.

CLICK HERE TO VIEW ALL MCQS

Comments

Dental MCQs - Multiple Choice Questions in Dentistry

SELECT THE TOPIC YOU WANT TO PRACTICE. # LOK SEWA AAYOG PAST QUESTIONS Medical Entrance Preparation MCQs # Digestive System and Nutrition MCQs # Reproductive System MCQs # MCQs on Sense Organs # Nervous System MCQs # Cardiovascular System MCQs # Endocrine System MCQs # Assorted Dental MCQs - Part 1 #AIIMS MDS ENTRANCE EXAM YEARWISE COLLECTION *** AIIMS Nov 2001 *** AIIMS Nov 2002 *** AIIMS Nov 2003 *** AIIMS Nov 2004 *** AIIMS Nov 2005 *** AIIMS Nov 2006 *** AIIMS Nov 2007 Part 1 *** AIIMS Nov 2007 Part 2 *** AIIMS Nov 2008 *** AIIMS Nov 2009 *** AIIMS Nov 2010 *** AIIMS Nov 2012 *** AIIMS Nov 2013 *** AIIMS Nov 2014 *** AIIMS Nov 2015 *** AIIMS May 2016 *** AIIMS May 2015 *** AIIMS May 2014 *** AIIMS May 2013 *** AIIMS May 2012 *** AIIMS May 2011 # DENTAL MATERIALS *** Amalgams *** Physical Properties *** Metallurgy *** Impression Materials *** Dental Ceramics and Miscellaneous *** Gypsum Products *** Dental Cements *** Restorative Resin...

MCQs on Odontogenic Infections - Oral and Maxillofacial Surgery

# Trismus associated with infection of lateral pharyngeal space is related to irritation of the: A. Buccinator B. Masseter C. Lateral pterygoid D. Medial pterygoid # Garre's osteomyelitis is: A. Chronic focal sclerosis and non suppurative osteomyelitis B. Chronic focal sclerosis and suppurative osteomyelitis C. Characterized by suppuration and acute pain D. Chronic diffuse sclerosing osteomyelitis

MCQs every Dentists should Know - MEDICALLY COMPROMISED DENTAL PATIENTS - DENTAL CONSIDERATIONS

# Macrolide antibiotics are usually avoided in asthmatics because: A. it can precipitate asthmatic attack B. it interacts with theophylline C. such patients are usually allergic to penicillins D. such patients show penicillin resistant infections # Anticoagulation therapy should be advised to discontinue before minor or major oral surgical procedures if: A. INR (international normalized ratio) is less than 3.0 B. INR is more than 3.0 C. PT (Prothrombin time) is less than 10 seconds D. PT is in range of 10-15 seconds # Which of the following oral manifestations can be often seen in asthmatics? A. Xerostomia B. Geographic tongue C. Enamel hypoplasia D. Aphthous ulcers # A male patient of 76 yrs is on warfarin therapy and needs emergency extractions of a decayed tooth. Select the appropriate protocol given below. A. Do not stop the warfarin therapy – perform the surgery with local hemostatic agents - a...

Download All Books In Dentistry Free - Free Dental Books - Download All Dental Books for Free

NOTE: If you cannot find any books here in the list below, You can search yourself in the Library Genesis Website Database. DISCLAIMER: We do not store any of these books in our database and these links provided may subject to change. We are simply redirecting you to the website that serves free download of these books. We'll not be held responsible for any damages incurred by the publishers and writers. Please contact us (Email to: dentosphere.worldofdentistry@gmail.com) immediately if some links are not working. Please Click the Link of the book you would like to download , and click GET for downloading the file. First Year # Gray's anatomy for students - Fourth Edition # Textbook of Microbiology and Immunology - second edition # Essentials of Medical Pharmacology - KD Tripathi - 8th Edition # Essentials of Medical Biochemistry, Second Edition: With Clinical Cases # Guyton and Hall Textbook of Medical Physiology -14th edition 2020 # Textbook of patholog...

MCQs in Endodontics - Disinfection and Obturation

# Obturation of a root canal should achieve: A. Tug back B. Hermetic seal C. Fluid free seal D. All of the above # The purpose of a root canal sealer is to: A. seal the tubules of the dentine B. stimulate healing in periapical region C. prevent discoloration D. fill the space between solid core material and pulp canal walls

MCQs in Endodontics - Diseases of the Pulp and Periradicular Tissues

# The treatment of acute periapical abscess is: A. Endodontic therapy or extraction B. Incision and drainage only C. Pulp capping D. None of the above # Internal resorption in a tooth is seen as: A. Ca(OH)2 pulpotomy B. Replacement resorption C. Non-proliferating lesion D. Desensitizing tooth # The initial pulpal response to any insult is: A. Necrosis B. Ulceration C. Calcification D. Inflammation # Patient reports with severe throbbing pain in relation to mandibular second molar. The tooth is sensitive to both hot and cold food and elicits a painful response on percussion. What would be your treatment of choice? A. Incision and drainage of periapical area B. Endodontic therapy C. Indirect pulp capping D. Partial pulpectomy # The most important aspect of emergency treatment for an acute apical abscess is to: A. Produce sedation B. Obturation C. Establish drainage ...

Dentosphere : World of Dentistry

Search This Blog