Clinical cases

Question 1

Diagnosis system:

Answer 1

1. Medical history: anamnesis
2. Clinical exploration
3. Additional tests

Question 2

Medical history includes:

Answer 2

• medical history
• reason for visiting
• Type of pain an intensity

Question 3

Clinical exploration includes:

Answer 3

1. extraoral exploration

2. Intraoral exploration

Question 4

Additional test includes.

Answer 4

1. termal test
2. xray
3. other tests

Question 5

Extraoral exploration:

Answer 5

1. swelling
2. fistula
3. asymmetry
4. adenopathies
5. scars
6. extra orals wounds

Question 6

Intraoral exploration:

Answer 6

Soft Tissues: Fistula, swelling/pathology on lips, cheeks, bottom of the vestibule, palate… Gums Recession…

Dental Tissues: cavities, fissures, restorations, fistulas, abscess , discoloration…

Question 7

Two types of percussion:

Answer 7

1. vertical

2. horizontal

Question 8

Vertical percussion:

Answer 8

pulp problem

with the handle of the mirror

Question 9

Horizontal percussion:

Answer 9

periodontal problem

from the buccal wall of the teeth

Question 10

When are we just gonna do the percussion?

Answer 10

If the patient has pain

Question 11

Healthy periodontal status:

Answer 11

between 1-3 mm

Question 12

Periodontal socket:

Answer 12

more or = 4 mm

Question 13

What is most likely what we have, if we have a deep probing on one specific place?

Answer 13

suspected fissure

Question 14

Vitality test: cold

Answer 14

carbon dioxide -78°

Question 15

Vitaity test < 20sec

Answer 15

reversible pulpitis

Question 16

Vitality test > 20 sec

Answer 16

irreversible pulpitis

Question 17

Vitality test: no respone

Answer 17

Necrosis

Question 18

Do we need to do a vitality test by a normal check up?

Answer 18

No, cause its a pain test

Question 19

When do we have problems with the pulp?

Answer 19

By:

1. reversible pulpitis
2. irreversible pulpitis
3. Pulp necrosis

Question 20

Regrading the treatment plan, what do we need to do first?

Answer 20

always do the emergency first, we help the patient with the pain
We need to remove any inflammation first, before we do something

Question 21

What include the treatment plan?

Answer 21

• Emergency
• Scale and polish, periodontal study
• Extractions
• Root canal treatments
• Obturations
• Prosthodontic treatment

Question 22

Whats a septum syndrom?

Answer 22

Food gets stuck thats why it hurts