AOH

1/13/23
ENDODONTICS FINAL EXAM

Mcq

1. Apexification is procedure that:

a) Finds the most apical stop of the Gutta-Percha in RCT.
b) Induce the formation of a mineral barrier in the apical region of incompletely root.
***
c) Is new in the endodontic field.
d) Involves the surgical removal of the apical region of the root and placement of a
retrog filling material:
2. The preferred material used in Apexification is:
a) Zinc Phosphate cement.
b) Zinc Polycarboxylate cement.
c) Calcium hydroxide. ***
d) Dycal.
3. Which of the following endodontic failure may be retreated only with surgery:
a) Missed major canal.
b) Persistent interappointment pain.
c) Past and core. ***
d) Short canal filling.
4. Which of the following failure may be treated non-surgically:
a) Post filling that has removed. ***
b) Severe apical perforation.
c) Very narrow canal with a periapical lesion and the apex cannot be reached.
d) None of the above.
5. Amount of G.P should after post preparation:
a) 1 mm.
b) 4-5 mm. ***
c) 10 mm.
d) None of the above.
6. The preferred material used in Apexification is:
a) Zinc Phosphate cement.
b) Zinc Polycarboxylate cement.
c) Calcium hydroxide. ***
d) Dycal.

AOH 1
 AOH
1/13/23
ENDODONTICS FINAL EXAM

7. Teeth that are discolored as a result of internal resorption of the pulp may turn:
a) Yellow.
b) Dark brown.
c) Pink. ***
d) Green.
8. The pH of the calcium hydroxide is:
a) 7.2
b) 12 ***
c) 19
d) 5.5
9. When resection the tip of root in Apicsactomy, the cut should Be :
a) Perpendicular to the long axis of tooth
b) Parallel to long axis
c) Acute angle. ***
d) Obtuse angle
10. Treatment of internal resorption involves:
a) Complete extirpation of the pulp to arrest the resorption process. ****
b) Enlarging the canal apical to the resorbed area for better access.
c) Utilizing a silver cone and sealer to fill the irregularities in the resorbed ar
d) Filling the canal and defect with amalgam.
e) Sealing sodium hypochlorite in the canal to remove the inflammatory tis area of the
resorption.
11. 10 years pt come with necrotic pulp in upper central with root apex best treatment:
a) Calcium hydroxide. ***
b) Calcific barrier.
c) Apexfication with gutta percha filling.
d) Gutta percha filling.
12. Formocresol pulpotomy on a primary tooth is indicated when
a) Hemorrhage following coronal pulp amputation is uncontrollable.
b) The inflammation or infection is confined to the coronal pulp.
c) The pulp does not hemorrhage.
d) There is a history of spontaneous toothache.

13. Localized swelling as an extension of pulpal disease

AOH 2
 AOH
1/13/23
ENDODONTICS FINAL EXAM

a) Is managed using incision, drainage, and an indwelling drain. ***

b) Requires analgesics.
c) Requires antibiotic therapy alone.
d) Resolves without treatment.
14. in the presence of an intense inflammatory process, nerve block injections are rendered
less effective owing to
a) Distance to source of irritation.
b) Length of needle,
c) Ph changes of inflammation. ***
d) Prior use of analgesics.
15. To enhance tooth isolation to prevent contamination
a) Anticholinergic and systemic antibiotic drugs are used,
b) direct access will achieve the goal.
c) isolation with cotton rolls is used.
d) isolation with rubber dam is used. ***
16. Filing with a Hedstrom file results in
a) Alack of tactile sensation.
b) Effective cutting on insertion.
c) Effective cutting on withdrawal. ***
d) Narrower canal preparations.
17. Modification of the cross-sectional design of K-type files from square to rhomboid has
resulted in significantly greater
a) Flexibility***
b) Stiffness.
c) Tensile strength.
d) Torsional strength.
18. Direct pulp capping is recommended for primary teeth with
a) Calcification in the pulp chamber.
b) Carious exposures.
c) Internal resorption. ***
d) Mechanical exposures
19. With acute, apical abscess, antibiotic administration is indicated in which of the
following?
a) 2 to 3 days before beginning treatment of the tooth
b) Only if there is purulence draining from an incision
c) Primarily only when there is diffuse swelling

AOH 3
 AOH
1/13/23
ENDODONTICS FINAL EXAM

d) When there is swelling to any degree (i.e., localized or diffuse)

20. Flare-ups during root canal treatment are more commonly associated with which of the
following?
a. Symptomatic teeth exhibiting pulp necrosis
b. Teeth with apical radiolucent areas when compared to teeth with normal
periapical tissues
c. Teeth with vital-pulp tissue when compared to teeth with pulp necrosis
d. With single-visit endodontic procedures

Matching
Part one
A internal resorption
B external resorption
C cracked tooth syndrome
D over extension
E under extension
F good prognosis

1 ……………is a highly destructive inflammatory response by the pulp to injury. ( A )

2……….. a cup-shaped crater, is viewed from the external portion of the root. ( B )
3 ………..If limits the repair is periapical region. ( E )
4 ……………. The tooth that presents oblique or vertical fracture, remain tender to
percussion & may never be asymptomatic. ( C )
5……….. If the defect occurs at or above the height of the bone, ( F )

Part two

A full land
B flutes of file
C variable pirch

AOH 4
 AOH
1/13/23
ENDODONTICS FINAL EXAM

D negative rake angle

E positive rake angle
F rake angle
1…….. will result in digging and gouging of dentin. This lead to the file separation. ( e )
2…… decrease the tendency of self threading in root canal ( c )
3 ………. Is the groove in working surface used to collects soft Tissue and dentin chips ( b )
4 ……….. keeps the file centered in the canal but produce more friction ( a )

Direct questions
1) Advantage of revascularization?
………………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….………………………………………………..

2) A-file
………………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….

3) Phoenix abscess. Diagnosis, causative, treatment, prevention

………………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….

AOH 5
 AOH
1/13/23
ENDODONTICS FINAL EXAM

……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….

4) Ideal requirements of appexification material.

………………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….

5)
………………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….
……………………………………………….……………………………………………….

AOH 6