Dentosphere : World of Dentistry

Hyperplastic Tissue Management in Complete Dentures

# The most common reason why hyperplastic tissue is removed during the construction of a complete denture is that:
a) It interferes with the arrangement of the teeth
b) It is unaesthetic to construct a denture on a hyperplastic tissue
c) It interferes with the stability of the denture
d) All of the above

The correct answer is C. It interferes with the stability of the denture.

The most important reason for the treatment of hyperplastic tissue before the construction of complete or removable partial dentures is to provide a firm, stable base for the denture.

Functional cusp reduction

# The amount of functional cusp reduction required for metal-ceramic crown is -
a) 1.0 - 2.5 mm
b) 1.5 - 2.0 mm
c) 2.0 - 2.25 mm
d) 1.85 - 2.10 mm

The correct answer is B. 1.5 -2.0 mm.

Metal ceramic restorations require a 1.5 - 2 mm reduction in the functional cusp and 1.0 - 1.5mm reduction in the non-functional cusp.

Gutta percha removal

# Best method to remove gutta-percha in retreatment procedures:
A. Hand instrumentation
B. Automated instrumentation
C. Rotatory instruments
D. Ultrasonic instruments

The correct answer is A. Hand instrumentation

The coronal portion of gutta-percha obturations should always be drilled out, preferably by means of endodontic drills such as the Gates-Glidden or Peeso. Gutta-percha may be dissolved (solvent technique) or removed in its solid form (Solid gutta-percha techniques). Dissolving avoids the use of excessive force in the negotiating of gutta-percha-obturated canals.

Extrusion of solvent into the periapical tissues should be prevented.

Solvents of gutta-percha: Gutta-percha is soluble in chloroform, ethyl chloroform, carbon disulfide, carbon tetrachloride, benzene, xylene, eucalyptol oil, halothane, and rectified white turpentine.

Retreatment of solid objects other than gutta-percha, either a silver point or a fragment of an instrument or post, cannot be easily grasped and pulled out. A readily accessible solid object may be withdrawn from the canal by a variety of instruments, including Stieglitz or Perry pliers, a modified Castroviejos needle holder, or a Caulfield silver point extractor. Ultrasonic Vibration, bypassing with hand instruments and Intermittent irrigation, alternating sodium hypochlorite with hydrogen peroxide or RC-Prep, may float the object coronally through the effervescence they create.

Special grasping devices. The Masserann technique- Masserann and alternative extractors. The Masserann kit consists of an extractor into which the object to be retrieved is locked. An assortment of end-cutting trepan burs are used in anticlockwise rotation, to provide access for the extractor.

Endodontic retreatment

# Endodontic retreatment:
A. Is as technically challenging as original treatment
B. Has a poorer prognosis than original treatment
C. Is performed only on endodontic failures
D. Has different objectives than primary treatment

The correct answer is B. has a poorer prognosis than the original treatment

Post and Core in Endodontics

# In restoring an endodontically treated tooth for post core, an absolute minimum of apical fill of gutta percha to be left over to prevent leakage is:
A. 1 mm
B. 2 mm
C. 3 mm
D. 4 mm

The correct answer is D. 4mm

Since there is greater leakage when only 2-3 mm of Gutta-percha is present, 4-5 mm should be retained apically to ensure an adequate seal. Although studies indicate that 4 mm produce an adequate seal, stopping precisely at 4 mm is difficult, and radiographic angulation errors could lead to retention of less than 4 mm. Therefore, 5 mm of gutta-percha should be retained apically.