Endo Flashcards
What are all the different pulp diagnoses?
Normal pulp
Reversible pulpitis
Symptomatic irreversible pulpitis
Asymptomatic irreversible pulpitis
Pulp Necrosis
Previously treated
Previously initiated therapy
What is reversible pulpitis?
Inflammation within the pulp should resolve and return to normal
What is symptomatic irreversible pulpitis?
Vital inflamed pulp is incapable of healing
Lingering thermal pain, spontaneous pain, referred pain
What is asymptomatic irreversible pulpitis?
Vital inflamed pulp is incapable of healing
No clinical symptoms but inflammation produced by caries or trauma
What is pulp necrosis?
Death of dental pulp
Unresponsive to testing
What are all the different apical diagnoses?
Normal apical tissues
Symptomatic apical periodontitis
Asymptomatic apical periodontitis
Acute apical abscess
Chronic apical abscess
Condensing osteitis
What is symptomatic apical periodontitis?
Inflammation producing clinical symptoms including a painful response to biting and/or percussion/palpation.
May or may not be associated with an apical radiolucent area
What is asymptomatic apical periodontitis?
Appears as an apical radiolucent area and doesn’t produce clinical symptoms
What is an acute apical abscess?
Inflammatory reaction to pulpal infection and necrosis
Rapid onset, spontaneous pain, TTP, pus formation and swelling
What is a chronic apical abscess?
Gradual onset, little or no discomfort, intermittent discharge of pus through an associated sinus tract
What is condensing osteitis?
Localised bony reaction to a low-grade inflammatory stimulus, usually seen at apex of tooth
What are the risks to advise before commencing RCT treatment?
Post operative pain
Extrusion of sodium hypochlorite through apex
Perforation through apex with instruments
Instrument fracture inside canals
Root fracture/crown fracture
Failure of treatment
What are the treatment options for a failed RCT?
Leave and monitor: no active tx but infection may flare up later
Orthograde retreatment
Periradicular surgery
XLA
What are the treatment options for a file fracture within tooth?
If can see separated file, attempt removal
Remove with ultrasonic instrument
Bypass the fragment and obturate
XLA: last resort
Do nothing
