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Diagnosis Flashcards

1
Q 
Reversible pulpitis...
potential to heal?
Response level to stimuli?
Response lingers?
Spontaneous?
Pain specific or vague?
What kinds of fibers?
A 
potential to heal? Yea
Response level to stimuli? Exaggerated
Response lingers? NO
Spontaneous? NO
Pain specific or vague? Specific
What kinds of fibers? A-delta
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2
Q

Reversible Pulpitis treatment?

A

remove source of irritation such as caries/leaky restoration

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3
Q 
Irreversible pulpitis...
potential to heal?
Response level to stimuli?
Response lingers?
Spontaneous?
Pain specific or vague?
What kinds of fibers?
A 
potential to heal? No
Response level to stimuli? RADIATING pain
Response lingers? YES
Spontaneous? YES
Pain specific or vague? vague
What kinds of fibers? C-fiber
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4
Q

Irreversible Pulpitis causes?

A

caries, trauma, pulp exposure

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5
Q

Irreversible Pulpitis treatment?

A

RCT or extraction

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6
Q

Symptomatic Apical Periodontitis…
response to percussion?
Apical radiolucency?

A

Pain, and maybe

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7
Q

Asymptomatic Apical Periodontitis
Response to percussion?
Apical Radiolucency?

A

No, No

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8
Q

Acute Apical Abcess symptoms (3)?

A

spontaneous pain
pus
swelling

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9
Q

Chronic Apical Abcess symptoms (2)

A

discomfort

pus discharge through sinus tract

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10
Q

Five things you ask about when patient has pain?

A
  1. location
  2. origin
  3. reproduction
  4. character
  5. timing
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11
Q

Reversible pulpitis can be from?

A

recent restoration

perio treatment

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12
Q

Reversible pulpitis clinical tests?

A

sensitive to cold, but percussion/palpation WNL

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13
Q

How does lying down affect puplitis?

A

Irreversible pulpitis - arterioles

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14
Q

Clinical Test for irreversible pulpitis?

A

positive cold, heat,

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15
Q

NON responsive to cold indicates?

A

pulpal necrosis

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16
Q

Cold test false-negative means?

A

calcified canals

17
Q

Tetrafluoroethane is used for?

A

cold tests

18
Q

Heat test bad bc?

A

not reproducible, not predictable outcomes

19
Q

electric pulp testing measures?

A

rough indicator of presence of vital nerve tissue

20
Q

Electric pulp testing - no response means? Responses use what fibers?

A

No response - necrosis or calcified pulp chamber

A-delta

21
Q

If you get positive EPT, do what bc of reliability

A

flip a coin lol

22
Q

What tests used for periapical testing?

A

percussion and palpation

23
Q

Transillumination used for?

A

fracture detection

24
Q 
Normal Apical Periodontium
Chief Complaint
Symptomatic?
Clinical Exam?
Rdaiographic Appearance?
Cold/EPT testing?
Percussion/Palpation?
Pulpal Diagnosis?
A

all normal

25
Q 
Symptomatic Apical Periodontitis
Chief Complaint
Symptomatic?
Clinical Exam?
Rdaiographic Appearance?
Cold/EPT testing?
Percussion/Palpation?
Pulpal Diagnosis?
Treatment?
A 
Chief Complaint - tooth hurts to touch
Symptomatic when touching/moving
Clinical Exam? extensive restoration/caries
Rdaiographic Appearance? widened PDL
Cold/EPT testing? no response
Percussion/Palpation? painful
Pulpal Diagnosis? usually necrotic or irreversible
Treatment - RCT
26
Q 
Asymptomatic APical Periodontitis?
Chief Complaint
Symptomatic?
Clinical Exam?
Rdaiographic Appearance?
Cold/EPT testing?
Percussion/Palpation?
Pulpal Diagnosis?
Treat?
A 
Chief Complaint - none
Symptomatic? No
Clinical Exam? large caries/rest/trauma
Rdaiographic Appearance? PA radiolucency
Cold/EPT testing? No
Percussion/Palpation? WNL
Pulpal Diagnosis? Necrotic
Treat with RCT
27
Q 
Acute Apical Abcess
Chief Complaint
Symptomatic?
Clinical Exam?
Rdaiographic Appearance?
Cold/EPT testing?
Percussion/Palpation?
Pulpal Diagnosis?
A 
Chief Complaint - tooth hurts and swollen
Symptomatic? when touching/moving
Clinical Exam? Swelling, lymphadenopathy
Rdaiographic Appearance? PA radiolucency
Cold/EPT testing? No
Percussion/Palpation? Painful
Pulpal Diagnosis? Necrotic
28
Q

What does a phoenix abcess arise form?

A

Asymptomatic Apical Periodontitus

29
Q 
Chronic Apical Abcess
Chief Complaint
Symptomatic?
Clinical Exam?
Rdaiographic Appearance?
Cold/EPT testing?
Percussion/Palpation?
Pulpal Diagnosis?
A 
Chief Complaint? bump on gum
Symptomatic? no
Clinical Exam? sinus tract
Rdaiographic Appearance? PA radiolucency
Cold/EPT testing? No
Percussion/Palpation? WNL
Pulpal Diagnosis? Necrotic
30
Q

What is the defining clinical feature of condensing osteitis?

A

radioPAcity

31
Q

Defining characteristic of Periapical CementoOsseus Dysplasia?

A

radiological evidence of it lol wtf everything else normal

32
Q

Key characteristics of cracked teeth?

A

Long history of uncertain diagnosis
Pain is erratic
Pt unable to describe pain clearly

33
Q

Most common source of extra oral pain?

A

Maxillary Sinus pain

Endo (9 decks)

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