Diagnosis AAE 2013

Question 1

What factors contribute to an endodontic diagnosis?

Answer 1

AAE 2013

Question 2

What is the difference between asymptomatic irreversible pulpitis and pulpal necrosis?

Answer 2

Asymp irrev. pulp. have no clinical symptoms
and usually respond normally to thermal testing but may have had trauma or deep caries that would likely result in exposure following removal.

Question 3

What is symptomatic irreversible pulpitis?

Name symptoms

Answer 3

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. Sometimes
the pain may be accentuated by postural changes such as lying down or bending over and over-the-counter analgesics are
typically ineffective

Question 4

State the different pulpal diagnosis’

Answer 4

Normal pulp
Reversible pulpitis
Symptomatic irreversible pulpitis
Asymptomatic irreversible pulpitis
Pulp necrosis
Previous treated (rct completed)
Previously initiated therapy (partial endo therapy eg pulptomy or pulpectomy

Question 5

Name some differences between pulpectomy and traditional RCT

Answer 5

• Pulpectomy: Estimate working lengths of root canals keeping 2mm(-3mm) short of the radiographic apex
• No file size bigger than 30mm
• Resorbable obturation material (ZOE/NS CaOH

Short of apex: reduce risk of extrusion & damage follice of successor

Question 6

State the different apical diagnosis

Answer 6

Normal apical tissues
Symptomatic apical periodontitis
Asymptomatic apical periodontitis
Chronic apical abscess
Acute apical abscess
Condensing osteitis

Question 7

State symptoms of acute apical abscess

Answer 7

Rapid onset
Spontaneous pain
Extreme tenderness of tooth to pressure
Pus formation
Swelling of associated tissues
Does not have to be radiographic signs
Can experience malaise, fever, lymphadenopathy

Question 8

State symptoms of chronic apical abscess

Answer 8

Gradual onset
Little/no discomfort
Intermittant discharge pus through associated sinus tract
Radiographic signs of osseous destruction (RL)

Question 9

State symptoms of asymptomatic apical periodontitis

Answer 9

Apical RL
No clinical symptoms

Question 10

State symptoms of symptomatic apical periodontitis

Answer 10

Painful response to biting/percussion/palp
Radiographic changes may be present

Question 11

What is condensing osteitis?

Answer 11

Diffuse RO lesion
localised bony reaction to low-grade inflam stimulus at apex