Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Endodontics > Diagnosis > Flashcards

Diagnosis Flashcards

1
Q

What should the clinical notes include?

A

Date
Socrates
Exam
Special investigations
Diagnoses
Treatment options and risks / prognosis
Agreed treatment
Signed /dated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two types of pain?

fibres

A

A-delta fibres
* Sharp pricking sensation
* Early shooting pain

C fibres
* Dull, aching or burning
* Late dull pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is an endodontic emergency?

A
  • Pain and or swelling caused by various stages of inflammation or infection of the pulpal and /or periapical tissues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SOCRATES

A
  • Site
  • Onset
  • Character
  • Radiation
  • Association
  • Time course
  • Exacerbating/Relieving factors
  • Severity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is referred pain?

A
  • Perception of pain in one part of body distant from source of pain
  • Difficult to discriminate location of pulpal pain
  • Referred pain usually provoked by intense stimulation of C- fibres leading to intense slow, dull pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the characteristics of referred pain?

A
  • Always radiates to ipsilateral side
  • Anterior teeth seldom refer pain to other teeth or opposite arch
  • Posterior teeth often refer to opposite arch or periauricular area, but seldom to anterior teeth
  • Mandibular posterior teeth refer pain to periauricular area more often than maxillary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What medical condition can be the cause of bone pain?

A

sickle cell anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What medical condition can be the cause of tooth mobility?

A

multiple myeloma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What medical conditions can be the cause of lymph node involvement?

A

TB
lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What medical conditions can be the cause of paraesthesia?

A

leukaemia
anaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What medical conditions can be the cause of tooth pain?

A

Multiple sclerosis
Acute maxillary sinusitis
Trigeminal neuralgia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does the endodontic examination include?

A
  • Extra oral exam
  • Intra oral exam
  • Soft tissue exam
  • Intra oral swelling
  • Sinus tracts
  • Palpation
  • Percussion
  • Mobility
  • Periodontal exam
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are sensibility tests?

A

thermal
electric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a vital test?

A

laser doppler flowmetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is used for cold tests?

A

frozen CO2
endo-frost
endo-ice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is used for heat tests?

A

hot gutta percha

17
Q

What are EPTs testing?

A
  • Electric current used to stimulate sensory nerves
  • Primarily A-delta fast conducting fibres
  • Unmyelinated C-fibres may or may not respond
18
Q

Why are EPTs not reliable?

why are they sometimes?

A
  • No indication of reversibility of inflammation
  • No correlation between threshold and pulp condition
  • EPT of teeth with open apices unreliable

* Negative response reliable indicator

19
Q

What is a bite test used for?

A

to find fractures or tooth sleuth

20
Q

What are the pulpal diagnoses?

A
  • Normal Pulp
  • Reversible Pulpitis
  • Irreversible Pulpitis
  • Pulp Necrosis
  • Previously Treated
  • Previously Initiated Therapy
21
Q

What is normal pulp?

A
  • Pulp is symptom-free and normally responsive to pulp testing (normal means response is mild or transisent and lasts no more than 1-2 secs after stimulus is removed)
  • Pulp may not be histologically normal
22
Q

What are qualities of reversible pulpitis?

A
  • Inflammation should resolve following appropriate management of the aetiology
  • Discomfort is experienced when a stimulus applied only lasting a few seconds
  • Exposed dentin (dentinal sensitivity), caries or deep restorations
  • No significant radiographic changes in the periapical region of the suspect tooth and the pain experienced is not spontaneous
23
Q

What are characteristics of irreversible pulpitis?

A
  • Vital inflamed pulp is incapable of healing and that root canal treatment is indicated
  • Characteristics may include sharp pain upon thermal stimulus, lingering pain (often 30 seconds or longer after stimulus removal), spontaneity (unprovoked pain) and referred pain
  • Pain may be accentuated by postural changes such as lying down or bending over
  • OTC analgesics typically ineffective
  • May have no clinical symptoms (asymptomatic)
24
Q

What is pulp necrosis?

A
  • Diagnostic category indicating death of the dental pulp, necessitating root canal treatment
  • Non responsive to pulp testing and is asymptomatic
  • Does not by itself cause apical periodontitis
  • (pain to percussion or radiographic evidence of osseous breakdown) unless the canal is infected
25
Q

What is previously treated?

A
  • Clinical diagnostic category indicating that the tooth has been endodontically treated
  • Canals are obturated with various filling materials other than intracanal medicaments
  • The tooth typically does not respond to thermal or electric pulp testing
26
Q

What is previously initiated?

A
  • Clinical diagnostic category indicating that the tooth has been previously treated by partial endodontic therapy such as pulpotomy or pulpectomy
  • Depending on the level of therapy, the tooth may or may not respond to pulp testing modalities
27
Q

What are the apical diagnoses?

A
  • Normal Apical Tissues
  • Symptomatic Apical Periodontitis
  • Asymptomatic Apical Periodontitis
  • Chronic Apical Abscess
  • Acute Apical Abscess
  • Condensing Osteitis
28
Q

What are normal apical tissues?

A
  • Not sensitive to percussion or palpation testing and radiographically, the lamina dura surrounding the root is intact and the periodontal ligament space is uniform
  • Comparative testing for percussion and palpation should always begin with normal teeth as a baseline for the patient
29
Q

What is symptomatic apical periodontitis?

A
  • Represents inflammation, usually of the apical periodontium
  • Painful response to biting and/or percussion or palpation
  • May or may not be accompanied by radiographic changes (there may be a periapical radiolucency)
  • Severe pain to percussion and/or palpation is highly indicative of a degenerating pulp and root canal treatment is needed.
30
Q

What is asymptomatic apical periodontitis?

A
  • Inflammation and destruction of the apical periodontium that is of pulpal origin
  • Appears as an apical radiolucency and does not present clinical symptoms (no pain on percussion or palpation)
31
Q

What is a chronic apical abscess?

A
  • Inflammatory reaction to pulpal infection and necrosis
  • Characterized by gradual onset, little or no discomfort and an intermittent discharge of pus through an associated sinus tract
  • Radiographically, signs of osseous destruction such as a radiolucency
  • Sinus tract tracing possible
32
Q

What is a acute apical abscess?

A
  • Inflammatory reaction to pulpal infection and necrosis
  • Characterized by rapid onset, spontaneous pain, extreme tenderness of the tooth to pressure, pus formation and swelling of associated tissues
  • May be no radiographic signs of destruction and the patient often experiences malaise, fever and lymphadenopathy
33
Q

What is condesing osteitis?

A

Diffuse radiopaque lesion representing a localized bony reaction to a low-grade inflammatory stimulus usually seen at the apex of the tooth

Endodontics (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions