Disease of Pulp and Periodontium

Question 1

Caries end result

Answer 1

Question 2

Pulp Hyperaemia Symptoms

Answer 2

• pain lasting for seconds
• pain stimulated by hot/cold/ sweet foods
• pain resolves after stimulus removed
• caries approaching pulp but toth can be restored without treating pulp

Question 3

Acute Pulpitis Characteristics

Answer 3

• constant severe pain
• reacts to thermal
• poorly localised pain
• referral pain
• no response to analgesics

Question 4

Diagnosis of Acute Pulpitis

Answer 4

• history
• visual examination
• negative tenderness to percussion
• radiographs
• removal of restorations

Question 5

Diagnosis of Acute Apical Periodontitis

Answer 5

• easy to make
• tenderness to percussion
• tooth is non-vital
• increase in mobility

Radiographs showing
- loss of clarity of lamina dura
- radiolucent shadow -> indicate old lesion, flare up of apical granuloma
- delay in changes at apex of tooth -> widening of apical periodontal space

Question 6

Traumatic periodontitis

Answer 6

• due to parafunction, ie: clenching, grinding

Diagnosis
- check occlusion
- TTP
- normal vitality
- radiograph may show widening of periodontal space

Question 7

Treatment for Traumatic Periodontitis

Answer 7

• occlusal adjustments
• therapy for parafunction

Question 8

What is acute apical abscess?

Answer 8

• commonest pus producing infection

Possible causes
- pericoronitis
- periodontal abscess
- sialadenitis

Question 9

Organisms of Dental Abscess

Answer 9

• Polymicrobial
• anerobes
• staphylococcal lymphadenitis
• cervico-facial actinomycosis

Question 10

Acute Apical Abscess

Answer 10

• severe unremitting pain
• acute tenderness in function
• acute tenderness on percussion
• no sweling, redness/ heat