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Question 1

T/F In irreversible pulpitis the pain will go away as soon as the stimulus is removed

Answer 1

F. The pain lingers after the stimulus is removed

Question 2

What percentage of maxillary first molars have 4 canals? Maxillary Second Molar?

Answer 2

Maxillary First Molar: 94% have four and 6% have three.

Maxillary Second Molar: 1=10% 2 =25% 3=60% 4= can be found but are in close proximity

Question 3

Maxillary first premolar canal percentages? Maxillary second premolar?

Answer 3

Maxillary First premolar: 1=9% 2=85% 3=6%

Maxillary Second premolar: 1=75% 2=24% 3=1%

Question 4

Mandibular Central Incisor canal percentages? Mandibular Lateral Incisor?

Answer 4

Mandibular Central Incisor: 1=70% 2=30%

Mandibular Lateral Incisor: 1=57% 2=43%

Question 5

Are mandibular incisors more likely to have 1 or 2 canals?

Answer 5

1 is more likely

Question 6

Clinical diagnosis based on subjective and objective findings indicating that inflammation should resolve and the pulp return to normal is _________.

Answer 6

Reversible Pulpitis

Question 7

Maxillary 1st bicuspids commonly have how many roots and how many canals?

Answer 7

Normally two roots and two canals

Question 8

Symptomatic vs Asymptomatic irreversible pulpitis

Answer 8

A clinical diagnosis based on subjective and objective findings indicating that the vital inflamed pulp is
incapable of healing.
Additional descriptors…..
– Symptomatic – Lingering thermal pain, spontaneous pain, referred pain
– Asymptomatic – no clinical symptoms but inflammation produced by caries, caries excavation, trauma

Question 9

T/F Reversible pulpitis can occur with no stimulation at any time

Answer 9

– FALSE

– Pain is NOT spontaneous or unprovoked

Question 10

T/F Irreversible pulpitis, pain will endure when stimulus is removed

Answer 10

T

Question 11

In Irreversible pulpitis, if you remove the stimulus pain will endure after the stimulus is removed

Answer 11

– Know about them
– True, the pain lingers
– Pulp is vital severely inflamed
– Symptoms usually intense acute could be chronic
– Pain may be poorly localized
– Pain is spontaneous
– Pain to hot and cold (cold may make it feel better at later stages)
– Pain lingers after stimulus is removed
– May or may not be sore to percussion
– Normal PDL or may be thickened

Question 12

In reversible, which statement is true?

Answer 12

– Know about it
– Pulp is vital with some minor degree of inflammation
– Mild symptoms or no symptoms
– Mostly sensitive to cold
– Pain rapidly subsides when stimulus is removed
– No carious exposure
– No sensitivity to percussion
– Pain is not spontaneous or unprovoked

Question 13

Symptomatic Apical Periodontitis

Answer 13

Inflammation usually of the apical periodontium, producing clinical symptoms including a painful response to biting and/or percussion or palpation. It might or might not be associated with an apical radiolucent area

Question 14

Noramal Apical Tissues

Answer 14

Teeth with normal periradicular tissues that are not sensitive to percussion or palpation testing. The lamina
dura surround the root is intact, and the periodontal ligament space is uniform

Question 15

Pulp Necrosis

Answer 15

Clinical diagnostic category indicating death of the dental pulp. The pulp is usually nonresponsive to pulp testing

Question 16

Which is not an example of objective findings in SOAP?

Answer 16

i. Objective:
– Diagnose – any IN OFFICE EXAM
– Radiographs
– Pulpal space
– Tooth morphology and position
– “if you cant put a RD on it, don't do the root canal.”
ii. Not objective
– Subjective, assessment, plan
– Pain information

Question 17

T/F Periapical or periradicular pathosis is a consequence of pulpal necrosis

Answer 17

– TRUE

– Can range from slight inflammation to extensive destruction of tissue

Question 18

Chronic Apical Abscess

Answer 18

An inflammatory reaction to pulpal infection and necrosis characterized by gradual onset, little or no discomfort, and the intermittent discharge of pus through an associated sinus tract