Dx, Tx planning and systemic considerations

Question 1

What heart conditions require Abx prophylaxis

Answer 1

Artificial heart valve
Previous history of infective endocarditis
Incomplete or repaired congenital heart tissue repair
Some heart transplants

Question 2

What is the recommended Abx regimen

Answer 2

Amoxicillin; 2g, 30-60 min prior to surgery.
or
Clindamycin 600 mg, 30-60 min prior to surgery

Question 3

Pulps is largely innervated by

Answer 3

nociceptive fivers;
A-delta ; fast conducting, sharp pain
C ; slow conducting, dull, throbbing pain

Question 4

What does a stoma/parulis usually indicates

Answer 4

Presence of a necrotic pulp and chronic apical abscess.

Sometimes a periodontal abscess.

Question 5

PA lesions of endodontic origin usually have what four characteristics

Answer 5

Lamina dura is absent apically
Lucency remains at the apex in radiographs made at different cone angles.
Hanging drop appearance
Tooth usually shown injury that caused the pulp necrosis.

Question 6

Pump exposure by soft caries without significant sx is considered

Answer 6

Asymptomatic irreversible pulpitis

Question 7

what does translumination help identify

Answer 7

Longitudinal crown fractures.

Because a fracture does not transmit the light, the test produces contrasting light and dark segments of the tooth.