Disease Of The Pulp And Periodontium Flashcards
Clinical features of pulp hyperaemia
Pain lasting for seconds
Pain stimulated by hot/cold/sweet foods
Pain resolves after stimulus
Caries approaching pulp but can be retreated without affecting the pulp
Clinical features of acute pulpitis
Constant severe pain
Reacts to thermal stimuli
Poorly localised pain
Referral of pain
Minimal response to analgesics
How to diagnose acute pulpitis
History, visual, -ve tenderness to percussion, radiographs
How to diagnose acute apical periodontitis
Tenderness to percussion, non-vital, slight mobility, radiographs
What would you see in the radiographs of acute apical periodontitis
Loss of clarity in the laminate dura
Radiolucent shadow
Widening of periodontal space
What is traumatic periodontitis caused by diagnoses and treatment
Parafunction (clench)
Clinical examination of the occlusion, tender to percussion, normal vitality, radiographs
To treat you do occlusal adjustment and therapy for parafunction
What’s the most common Pus producing infection
Acute apical abscess
What other pus producing infection are there
Periodontal abscess
Pericoronitis
Sialadenitits
What causes dental abscesses
Organisms- polymicrobial anaerobes
Usually staphylococcal lymphadenitis of childhood
What are symptoms of acute apical abscesses before it perforated bone
Severe unremitting pain
Acute tenderness in function
Acute tenderness on percussion
What’s symptoms after acute apical abscess perforates bone
Pain often remits
Swelling, redness, heat
Swelling increases pain returns
5 clinical signs of inflammation
Heat
Redness
Swelling
Pain
Loss of function
The site of the swelling will depend upon what in an acute apical abscess
The position of the tooth in the arch
Root length
Muscle attachments
Potential spaces in proximity to lesion
Submental Space
Sublingual Space
Submandibular Space
Buccal Space
Infraorbital Space
Lateral Pharyngeal Space (a.k.a. Parapharyngeal Space)
Palate
Acute Apical Abscess – Treatment
Provide Drainage
-Soft tissue incision intraorally
-Soft tissue incision extraorally
Remove source/cause
-Extract tooth
-Pulp extirpation
-Periradicular surgery
Need for antibiotics determined by
Severity
Absence of adequate drainage
Patient’s medical condition
What is reversible pulpitis
Denotes a level of inflammation in which returning to a normal state is possible if noxious stimuli removed
Mild-moderate tooth pain when stimulated, no pain without stimulus, subsides within seconds (<5 secs), no mobility, no pain on percussion