diagnosis Flashcards
reversible pulpitis
symptomatic to COLD OR SWEET
goes away few seconds later
no radiographic involvement
normal pulp
mild or transient response to stimuli no more than two seconds
symptomatic irreversible pulpitis
RCT required
NO TTP
Sharp pain upon stimulus
Lingering
Spontaneous
Can be referred
Often no radiographic involvement
Need pulps testing
asymptomatic irreversible pulpitis
RCT is required
No clinical symptoms
Respond normal to pulpal testing
pulp necrosis
non responsive to pulpal testing
Asymptomatic
previously treated
Post RCT obdurate
previously initiated therapy
Post pulpotomy and pulpectomy
Normal apical tissues
No TTP
No response to pulpal testing
No radiographic lesions
Root intactsy
PDL is uniform
Symptomatic apical periodontitis
Inflamed apical periodontium
Clinical TTP
May or may not have apical radiolucency
Severe pain = degenerating pulp = RCT required
Asymptomatic apical periodontitis
Inflammation of pulpal origin
Destruction of apical periodontium
Appears as apical radiolucency
No TTP
chronically apical abscess
Gradual onset inflammatory response
Discharge of pus through sinus tract
Normally have a radiolucency
acute apical abscess
Inflammatory reaction and pulp necrosis
Rapid onset
Spontaneous pain
TTP
Extremes tenderness and swelling
Often can present with fever
Condensing osteositis
Diffuse radiopaque lesion showing localised bony reaction to low-grade inflammatory stimulus seen at the apex of the tooth
