9/10: Clinical Examination & Testing

Question 1

What are the 1st things you should do in a clinical examination?

Answer 1

Chief complaint → medical history → intraoral exam

Question 2

This is the focus area of a patient

Answer 2

Area of suspicion (AOS)

Question 3

How many probings should you take on each tooth in the AOS?

Answer 3

At least 6

Question 4

Should you test the tooth mobility?

Answer 4

Yes

Question 5

In a CAA with a DST, the pulp is expected to be

Answer 5

Necrotic

Question 6

Is there any pain in a CAA?

Answer 6

No or very minimal

Question 7

Should you start your percussion on the suspected tooth?

Answer 7

No

Question 8

Why should you not start percussion on a suspected tooth?

Answer 8

Establish a baseline

Question 9

What 3 radiographs do you need?

Answer 9

Straight PA, angled PA, BW

Question 10

How do you do thermal and EPT testing in the mouth?

Answer 10

Isolated and dry teeth, place cold cotton pellet in facial

Question 11

In thermal and EPT testing, what is most important?

Answer 11

Time of recovery > severity of pain reported

Question 12

In thermal cold testing, what period of time needs to be noted?

Answer 12

Period of time to return to normal following cold stimulation

Question 13

A lingering feeling is for more than

Answer 13

20-30 seconds

Question 14

All results mean NOTHING without a

Answer 14

Baseline for the patient

Question 15

Sensitivity to cold is considered an early or late pulpal inflammation stage?

Answer 15

Early

Question 16

Sensitivity to heat is considered an early or late pulpal inflammation stage?

Answer 16

Late

Question 17

Heat testing is only done when?

Answer 17

Complaint that pain is from warm liquids

Question 18

If hot testing is required, what temp of water do you use?

Answer 18

140F

Question 19

If you get no response on a tooth, what does that mean?

Answer 19

Necrotic pulp

Question 20

You will also get no response on what kind of teeth?

Answer 20

New permanent teeth
Trauma
Injury to tooth

Question 21

How does an EPT work?

Answer 21

Place a bit of toothpaste on tooth as a conductor

Question 22

What if you have symptoms of a tooth with no caries, trauma, restorations?

Answer 22

Suspect an axial crack

Question 23

What instrument do you use to identify an axial crack?

Answer 23

Tooth slooth

Question 24

When using a transillumination, a normal tooth will ______

Answer 24

Light up like a light bulb

Question 25

Will an axial crown fracture allow light or pass through a fracture?

Answer 25

No

Question 26

If you have a restoration, will you have to remove it to see the crack?

Answer 26

Yes

Question 27

What tooth is the most common to have a crack?

Answer 27

Mandibular 2nd molar (1)
Maxillary premolar (2)

Question 28

When is a crack not treatable?

Answer 28

Extends to the root

Question 29

What is a normal cold lingering time?

Answer 29

3-8 seconds

Question 30

how many teeth should you isolate at a time when preforming a heat test?

Answer 30

1 tooth

Question 31

if their is no response on most or all teeth, what should you do?

Answer 31

EPT

Question 32

when should you check teeth after injury if NR?

Answer 32

2-4 weeks

Question 33

what do you need to prove axial crack?

Answer 33

radiographs
tooth sleuth
translumination
periodontal probing