9/10: Clinical Examination & Testing Flashcards
What are the 1st things you should do in a clinical examination?
Chief complaint → medical history → intraoral exam
This is the focus area of a patient
Area of suspicion (AOS)
How many probings should you take on each tooth in the AOS?
At least 6
Should you test the tooth mobility?
Yes
In a CAA with a DST, the pulp is expected to be
Necrotic
Is there any pain in a CAA?
No or very minimal
Should you start your percussion on the suspected tooth?
No
Why should you not start percussion on a suspected tooth?
Establish a baseline
What 3 radiographs do you need?
Straight PA, angled PA, BW
How do you do thermal and EPT testing in the mouth?
Isolated and dry teeth, place cold cotton pellet in facial
In thermal and EPT testing, what is most important?
Time of recovery > severity of pain reported
In thermal cold testing, what period of time needs to be noted?
Period of time to return to normal following cold stimulation
A lingering feeling is for more than
20-30 seconds
All results mean NOTHING without a
Baseline for the patient
Sensitivity to cold is considered an early or late pulpal inflammation stage?
Early
Sensitivity to heat is considered an early or late pulpal inflammation stage?
Late
Heat testing is only done when?
Complaint that pain is from warm liquids
If hot testing is required, what temp of water do you use?
140F
If you get no response on a tooth, what does that mean?
Necrotic pulp
You will also get no response on what kind of teeth?
New permanent teeth
Trauma
Injury to tooth
How does an EPT work?
Place a bit of toothpaste on tooth as a conductor
What if you have symptoms of a tooth with no caries, trauma, restorations?
Suspect an axial crack
What instrument do you use to identify an axial crack?
Tooth slooth
When using a transillumination, a normal tooth will ______
Light up like a light bulb
Will an axial crown fracture allow light or pass through a fracture?
No
If you have a restoration, will you have to remove it to see the crack?
Yes
What tooth is the most common to have a crack?
Mandibular 2nd molar (1)
Maxillary premolar (2)
When is a crack not treatable?
Extends to the root
What is a normal cold lingering time?
3-8 seconds
how many teeth should you isolate at a time when preforming a heat test?
1 tooth
if their is no response on most or all teeth, what should you do?
EPT
when should you check teeth after injury if NR?
2-4 weeks
what do you need to prove axial crack?
radiographs
tooth sleuth
translumination
periodontal probing
