Diagnosis Flashcards
Jones
Most effective cold test?
2 cotton pellet results in a significantly lower intrapulpal temperature compared to #4 or cotton tip applicator
Spilka 1996
Canine space infection?
Loss of definition of the nasolabial fold on one side of the nose may be the earliest sign of a canine space infection
Spilka 1996
Buccal space infection?
For mandib 2nd and 3rd molars to cause buccal space infection, max root apices must lie superior to attachment of buccinator to maxilla, and mand root apices must be inferior to buccinator muscle attachment to mandible.
Laskin 1964
Swelling?
Swellings of non-odontogenic origin must always be considered in the differential dx, especially if an obvious dental etiology is not found.
Remeikis 1999
Sinus tract?
Many patients with extraoral sinus tracts are treated by a dermatologist with systemic/topical antibiotics prior to seeing a dentist.
Difference between sublingual swelling and submandibular swelling?
Sublingual if infection exits superior to mylohyoid attachment (elevated tongue, bilateral). Submandibular if infection exits inferior to attachment.
Harrison and Larson 1976
sinus tracts?
Only one in ten sinus tracts are lined with epithelium. (The rest-granulation tissue).
Baumgartner 1984
sinus tracts?
2/3 of sinus tracts do not have epithelium that extends beyond the surface mucosa rete ridges.
Seltzer and Bender 1963
significance of clinical signs and symptoms?
Not a good correlation between the objective clinical signs and symptoms and the pulp histology.
Peters, Baumgartner, Lorton 1994
EPT and cold testing?
If a mature, untraumatized tooth does not respond to both electric pulp test and cold test, then the pulp should be considered necrotic.
Jones, Rivera, Walton 2002
CO2 v. refrigerant
Refrigerant spray and CO2 are equivalentn in determining pulpal responsiveness, but refrigerant spray elicited a faster response.
who said Loss of definition of the nasolabial fold on one side of the nose may be the earliest sign of a canine space infection
Spilka 1996
Canine space infection?
who said For mandib 2nd and 3rd molars to cause buccal space infection, max root apices must lie superior to attachment of buccinator to maxilla, and mand root apices must be inferior to buccinator muscle attachment to mandible.
Spilka 1996
Buccal space infection?
who said Swellings of non-odontogenic origin must always be considered in the differential dx, especially if an obvious dental etiology is not found.
Laskin 1964
Swelling?
who said Many patients with extraoral sinus tracts are treated by a dermatologist with systemic/topical antibiotics prior to seeing a dentist.
Remeikis 1999
Sinus tract?
who said Only one in ten sinus tracts are lined with epithelium. (The rest-granulation tissue).
Harrison and Larson 1976
sinus tracts?
who said 2/3 of sinus tracts do not have epithelium that extends beyond the surface mucosa rete ridges.
Baumgartner 1984
sinus tracts?
who said If a mature, untraumatized tooth does not respond to both electric pulp test and cold test, then the pulp should be considered necrotic.
Peters, Baumgartner, Lorton 1994
EPT and cold testing?
who said Not a good correlation between the objective clinical signs and symptoms and the pulp histology.
Seltzer and Bender 1963
significance of clinical signs and symptoms?
who said: Refrigerant spray produces pulp testing results that are reproducible, reliable, and equivalent to CO2 (and also slightly faster)?
Jones, Rivera, Walton 2002
CO2 v. refrigerant
What is Endo Ice made of and what is its temperature? According to whom?
Tetrafluoroethane. -26.2 degrees Celcius
Jones Rivera Walton 2002
who said: A significantly lower intrapulpal temperature is acheived with a #2 cottone pellet?
Jones 1999
who said (2): CO2 and refrigerant spray are superior to other cold testing methods and equivalent or superior to the electric pulp tester for assessing pulp vitality?
Fuss 1986 and Ausburger 1981
Fuss 1986, Ausburger 1981
Cold?
CO2 and refrigerant spray are superior to other cold testing methods and equivalent or superior to the electric pulp tester for assessing pulp vitality
In Petersson’s study: What was the sensitivity of the three tests?
Cold: 83% Heat: 86% EPT: 72%
Definition of a test’s sensitivity
The ability of a test identify teeth that are diseased
Definition of a test’s specificity
The ability of a test to identify teeth that are no diseased
In Petersson’s study: What was the specificity of the three tests?
Cold: 93% EPT: 93% Heat: 41%
who said: The response of the pulp to EPT does not reflect the histologic health or disease status of the pulp
Seltzer, Bender, Ziontz 1963
Seltzer, Bender, Ziontz 1963
EPT
The response of the pulp to EPT does not reflect the histologic health or disease status of the pulp
In Petersson’s study: What was the accuracy of the three tests?
Cold: 86%, EPT: 81%, Heat: 71%
who said: The EPT can be bridged to natural tooth structure?
Pantera, Anderson, Pantera 1992
Pantera, Anderson, Pantera 1992
EPT
The EPT can be bridged to natural tooth structure.
who said: The tip of the EPT probe that will be placed in contact with the tooth must be coated with a water or petroleum based medium
Michaelson, Seidberg, Guttuso 1975
Michaelson, Seidberg, Guttuso 1975
EPT
The tip of the EPT probe that will be placed in contact with the tooth must be coated with a water or petroleum based medium
Who said: The EPT probe should be placed in the incisal third of the facial or buccal area of the tooth to be tested?
Bender, Landau, Fonsecca, Trowbridge 1989
Bender, Landau, Fonsecca, Trowbridge 1989
EPT
The EPT probe should be placed in the incisal third of the facial or buccal area of the tooth to be tested?
Peters, Baumgartner, Lorton 1994
cold is more reliable for who?
Cold tests are more reliable than ept in younger patients with less developed apices
Who said: Cold tests are more reliable than ept in younger patients with less developed apices
Peters, Baumgartner, Lorton 1994
Gopikrishna 2007-developed what?
A pulse ox sensor that can be directly applied to a tooth, and is more accurate in assessing vitality then electric and thermal.
Who developed a pulse ox sensor, showed it was very accurate, and also that it is great for evaluating teeth subjected to trauma?
Gopikrishna 2007
Goldman et al. 1974
diagnosis
There was agreement for the presence of pathosis only 50% of time among two endodontists, three residents, and a radiology professor. Seven mos. later, the evaluators agreed with themselves 75-83% of the time.
Who said: There was agreement for the presence of pathosis only 50% of time among two endodontists, three residents, and a radiology professor. Seven mos. later, the evaluators agreed with themselves 75-83% of the time.
Goldman et al. 1974
Kaffe 1988
diagnosis
The most consistent radiographic finding when a tooth is non-vital is a break in the lamina dura
Who said: The most consistent radiographic finding when a tooth is non-vital is a break in the lamina dura
Kaffe 1988
Seltzer and Bender 1961
radiographic diagnosis
The radiographic evidence of pathosis will only be observed once bone loss extends to junction of cortical and cancellous bone
who said: The radiographic evidence of pathosis will only be observed once bone loss extends to junction of cortical and cancellous bone
Seltzer and Bender 1961
which teeth did Seltzer and Bender 1961 say are most likely to exhibit pathosis sooner, and why?
Anterior/premolars, because they are located close to the cortical/cancellous bone junction.
who said: Anterior/premolars are more likely to exhibit pathosis sooner on xrays because they are located close to the cortical/cancellous bone junction.
Seltzer and Bender 1961
Miles 1993
Resolution of conventional xray film?
16 line pairs per millimeter
Resolution that human eye can see
10 line pairs per millimeter
who said In file length determination, digital is better than conventional, though it may not be clinically significant
Eikenerg and Vandre 2000
Eikenerg and Vandre 2000
digital v conventional radiography
File length determination is more accurate using digital versus conventional radiography, though it may not be clinically significant
who said: Digital imaging required 50% less radiation than film to obtain the same diagnostic information (amount of alveolar bone loss)
Paurazas, Geist 2000
Paurazas, Geist 2000
digital v. conventional radiography
Digital radiography requires 50% less radiation than film to obtain the same diagnostic information (amount of alveolar bone loss)
Khocht and Chang 2003
digital v. conventional radiography
Digital radiographs showed a higher number of sites with alveolar bone loss than conventional film.
Who said Digital radiographs showed a higher number of sites with alveolar bone loss than conventional film?
Khocht and Chang 2003
Who first reported on the use of CBCT in dentistry? What year?
Mozzo, Proccacci 1998
who found a 100% accuracy with CBCT scans predicting 78 periapical lesions (confirmed with biopsy), but only a 78% accuracy when using conventional radiographic imaging?
Velvart et al. 2001
Velvart et al. 2001
periapical lesions
CBCT scans had a 100% accuracy of predicting 78 periapical lesions (confirmed with biopsy). Conventional radiographic imaging had only 78% accuracy.
Nakata et al. 2007
peripaical lesions
periapical bone loss associated with a palatal root was detected by CBCT when it was not visible in conventional periapical radiographs
who found: periapical bone loss associated with a palatal root was detected by CBCT when it was not visible in conventional periapical radiographs
Nakata et al. 2007
who said: the most common cause of vertical root fractures may be iatrogenic dental treatment (excessive force during lateral condensation, or forcing/tapping of dowels into place.)
Gerstein 1980
Gerstein 1980
VRF
The most common cause of vertical root fractures may be iatrogenic dental tx (excessive force during lateral condensation or forcing/tapping of dowels into place)
who said: the most common dental procedure contributing to vertical root fractures is endodontic tx?
Bender 1983
Bender 1983
VRF
The most common dental procedure contributing to vertical root fractures is endodontic tx.
who found there is no difference in dentin properties after endodontic tx (teeth are not more susceptible to fracture?)
Huang, Schilder, Nathanson 1991
Huang, Schilder, Nathanson 1991
after endo tx
After endo treatment, there is no difference in dentin properties (teeth are not more susceptible to fracture).
who found Mandibular second molars have a higher incidence of vertical root fractures, followed by maxillary first molars and maxillary premolars
Cameron 1964
Cameron 1964
VRF
Mandibular second molars have a higher incidence of vertical root fractures, followed by maxillary first molars and maxillary premolars
who said the presence of multiple sinus tracts adjacent to a tooth is indicative of vertical root fracture?
Farber and Green 1973
Farber and Green 1973
VRF
he presence of multiple sinus tracts adjacent to a tooth is indicative of vertical root fracture