Diagnosis and Treatment Planning

Question 1

What are the 5 steps to be able to properly create a treatment plan?

Answer 1

1-Cheif complaint (voluntarily)
2-Medical/Dental History (subjective)
3-Oral Exam and Tests (Objective)
4-Correlate findings to reach differential diagnosis
5-Formulate definitive diagnosis and treatment plan

Question 2

What are 5 things you look for in a subjective test?

Answer 2

1-Localization
2-Commencement
3-Intensity (wake at night)
4-Provocation/relief
5-Duration

Question 3

What are 5 objective tests?

Answer 3

1-Palpation
2-Percussion/bite
3-Mobility
4-Periodontal exam
5-Pulp tests

Question 4

What are 5 Pulp vitality tests?

Answer 4

1-Cold
2-Heat
3-Electric
4-Test Cavity
5-Selective Anesthesia

Question 5

What are 4 things to look for on PAs of lesions of endodontic origin?

Answer 5

1-Lamina dura lost apically
2-Lucency remains at apex despite angulation
3-Lucency resembles hanging drop
4-Tooth has necrotic pulp

Question 6

A reaction to pulp or perioapical inflammation resulting in density of bone is called?

Answer 6

Condensing Osteitis

Question 7

What are 3 examples of pulpal lesions?

Answer 7

1-Internal resorption (dentinoclastic activity)
2-Calcific metamorphosis (obliterated canal, usually history of trauma)
3-Pulp sotnes

Question 8

What 5 categories of medical conditions may warrant modification of dental care?

Answer 8

1-Cardiovascular
2-Pulmonary
3-GI and Renal
4-Hematologic
5-Neurologic

Question 9

What are the 5 classifications of pulpal disease?

Answer 9

1-Reversible Pulpitis
2-Irreversible Pulpitis
3-Pulpal necrosis
4-Previously initiated pulpal therapy
5-Normal

Question 10

Which pulpal condition has uncomfortable but quickly reversing stimulation, caries (exposed dentin) or a recent restoration?

Answer 10

Reversible pulpitis

*does not need RCT generally

Question 11

What are 4 things that can affect the dentin tubule fluid causing sensitivity?

Answer 11

1-Dehydration (fluid pulls out)
2-Heat (fluid in)
3-Cold (fluid out)
4-Hyper-osmotic solutions (fluid out)

Question 12

Stimulation resulting in heightened and prolonged response with minimal or no radiographic change which can be symptomatic or asymptomatic is categorized as what?

Answer 12

Irreversible pulpitis

*RCT needed

Question 13

Which pulpal classificiation describes histological status of pulp and has no response to cold but sometimes heat?

Answer 13

Pulpal necrosis

*RCT needed

Question 14

Which pulpal classification is characterized by a symptomatic tooth with a partially filled canal?

Answer 14

Previously initiated pulp therapy