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abe oral board review > Diagnosis > Flashcards

Diagnosis Flashcards

1
Q

Subjective and Clinical exam quote

A

Berman and Hartwell

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2
Q

Examine both the suspected tooth and ______ and _______

A

Adjacent teeth and opposing jaw
Bender

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3
Q

Taking NSAIDs before diagnostic testing

A

McClanahan – affects results
Fowler – no effect

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4
Q

______% agreement between clinical and histological diagnosis (Ricucci)

A

84-97%

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5
Q

First-line pulp sensitivity test

A

Cold testing

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6
Q

Basis of cold testing

A

outward hyrdodynamic fluid flow stimulates A delta fibers
Trowbridge

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7
Q

What is Endo Ice

A

tetrofluoroethane

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8
Q

Overall ice testing accuracy

A

90%
Jespersen

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9
Q

When to use heat test

A

When chief complaint includes heat sensitivity.

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10
Q

Heat sensitivity in a previously treated tooth indicates

A

Untreated anatomy
Keir

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11
Q

Basis of EPT

A

Ionic changes in dentinal fluid stimulates A delta fibers
Bender

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12
Q

Basis for heat testing

A

inward hydrodynamic fluid flow stimulates A delta fibers

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13
Q

When is EPT more useful

A

Calcified teeth
to rule out pulpal necrosis

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14
Q

What to use during orthodontic treatment

A

thermal tests (not EPT)

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15
Q

ideal placement of EPT electrode

A

Incisal edge or cusp tip

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16
Q

EPT and pacemakers

A

safe to use according to Wilson

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17
Q

EPT accuracy

A

75%. High rate of false positives, EPT should be a secondary measure generally

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18
Q

What do pulp tests check for?

A

Sensitivity, not vitality

19
Q

True measure of vitality?

A

Blood flow
Doppler flowometry
pulse oximetry

20
Q

Assessment of the PDL

A

Percussion
Palpation
biting

21
Q

Percussion tests for

A

mechanical allodynia

22
Q

Palpation tests for

A

soft tissue swelling, bony expansion

23
Q

Periodontal exam includes

A

Probing depths
mobility
furcation invovlement

24
Q

Other tests

A

Transillumination
tooth slooth
methylene blue staining
selective anesthesia

25
Q

Most common radiograph for endodontic diagnosis

A

PA

26
Q

Radiograph to assess existing restorations, caries, periodontal health, pulp chamber anatomy

A

Bitewing

27
Q

Digital radiographs require ______% less radiation compared to traditional films

A

22%

28
Q

Digital vs traditional radiographs for diagnostic yield

A

no difference

29
Q

Diagnostic accuracy increases from _____ to ______% when using 1 PA vs 3 PAs from different angles

A

74% to 90%

30
Q

There is at least ______% magnification in 2D radiographs

A

5%

31
Q

CBCT is considered _______ compared to CT for dental purposes

A

superior

32
Q

What makes CBCT scans dimensionally accurate?

A

The cubic voxels

33
Q

Compared to CBCT, traditional radiographs miss _____% of lesions in the posterior maxilla

A

34%

34
Q

Major draw-backs with CBCT

A

radiation dose, cost, contrast resolution, beam hardening, liability risk

35
Q

Gold standard image for endo

A

Micro-CT

36
Q

CBCT imaging can change diagnoses and treatment plans _____% of the time

A

62%

37
Q

Should abide by _____ when considering obtaining CBCT

A

ALARA

38
Q

IAN is ____mm away from the second premolar apex and ______mm away from the second molar apex

A

4.7mm and 3.7mm

39
Q

Fractures usually involve

A

Mandibular second molar, then maxillary premolars and molars

40
Q

Endodontic lesions that drain through the periodontal pocket

A

Perio-endo lesions.

41
Q

Perio-endo lesions are a form of

A

CAA, sinus tract through the PDL

42
Q

Periodontal disease unlikely to cause endodontic disease unless

A

The periodontal disease reaches the apex
Langeland

43
Q

Chronic pulpal inflammation usually following carious or traumatic exposure in a young patient

A

Pulp polyp

abe oral board review (12 decks)

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