Diagnosis

Question 1

What is IP

Answer 1

lowered threshold of stimulation for both fibers
lingering pain
spontaneous, dull, aching pain

Question 2

What is pulp necrosis

Answer 2

may of may not be symptomatic
No response to vitality tests
COMPLETE NECROSIS OF A-DELTA FIBERS
c-fibers might still be viable and can be triggered by heat.

Question 3

What comes first

Answer 3

inflammation precedes infections

Question 4

When might you get SAP

Answer 4

Acute inflammatory response in the PDL;
Pulpal pathosis
Occlusal trauma
Increased number of PMNs

Question 5

AAA

Answer 5

THERE MUST BE A SWELLING
Purulent exudate
it could happen on a tooth that was chronic before.
Clinically AAA
RG: PARL

Question 6

AAP

Answer 6

Periraicular granuloma/cyst

low grade , long standing lesion

Question 7

Where did epithelium came from to form cyst

Answer 7

stimulation of rests of Malassez w/i the granuloma

Question 8

Why did we need epithelial cells

Answer 8

to create enamel then they migrate down

Question 9

What is a true cyst

Answer 9

360 degrees of epithelium

must be surgically removed

Question 10

What is a bay cyst

Answer 10

epithelium is open/connects to the tooth.

Question 11

What is a chronic apical abscess

Answer 11

lesion has stablished drainage to
Periodontal tissues
cortical plate
Sinus tract present

Question 12

What is fistula

Answer 12

communication between two internal organs or from one epithelial lined surface to another epithelial lined surface

Question 13

What is a sinus tract

Answer 13

pathway from enclosed area of infection to an epithelial surface.

Question 14

Pain in the posterior can?

Answer 14

refer from maxilla to mandible and vice versa

but pain is not referred across the midline

Question 15

What tests are comparative

Answer 15

Percussion
Palpation
cold
Heat

Question 16

what fibers is the EPT testing

Answer 16

A-delta fibers

tooth has to be dry, dry , dry

Question 17

What does pain that goes away immediately after the stimulus is removed tells you

Answer 17

Hyperemia (reversible pulpitis)

Question 18

SS of reversible pulpitis

Answer 18

Hyper sensiitivity to cold
A-delta fibers are stimulated
Sharp brief pain

Question 19

SS of irreversible pulpitis

Answer 19

pulp is heavily inflamed, infl. 
Mediators affect C fibers, 
heat produces delayed dull,
 throbbing pain and eventually spontaneous, 
constant pain

Question 20

SS of pulp necrosis

Answer 20

no symptoms

Question 21

SS of cracked tooth syndrome

Answer 21

Hot and cold sensitivity 
lightning bolt on bitting 
Intermittent 
Hard to localize 
Pain on release

Question 22

SS of vertical root fracture

Answer 22

Pulp necrosis on previous RCTT
Narrow deep probing
upper pm are notorious