emergencies Flashcards
what are the two main pulpal diagnoses
vital or necrotic
common complaints with reversible pulpitis
sensitivity to sweets/eating/drinking
common complaints of symptomatic irreversible pulpitits
lingering thermal pain, spontaneous pain, referred pain
descriptors of asymptomatic irreversible pulplitis
no clinical symptoms but inflammation produced by caries, caries excavation, trauma
does a necrotic pulp respond to pulp testing
no
do you always have a radiolucent area with SAP?
no
two hallmarks of asymptomatic apical periodontitis
RADIOLUCENCY
NO CLINCIAL SYMPTOMS
rapid onset, spontaneous pain, tenderness of tooth to pressure, pus formation, swelling of associated tissues….diagnosis?
acute apical abscess
when do you get a sinus tract
chronic apical abscess
symptoms of chronic apical abcess
gradual onset, little to no discomfort, intermittent pus discharge thru tract
what is the only periodical diagnosis that is opaque
condensing osteitis
does SAP always mean the tooth is necrotic?
no–can be vital or necrotic
Not painful to percussion but has a radiolucent area. DX?
asymptomatic apical periodontitis
why develop a diagnosis? 2 things
treatment/pt management (anesthesia, prep, anxiety etc)
post op problems
SIP are hard to get numb…two options for tx?
pain meds and refer them for a later date
supplemental LA techniques
