Endodontic Diagnosis

Question 1

What is the pulpal diagnosis for the following thermal test result:
Mild to moderate pain lasting 1-2 seconds after removal of stimulus

Answer 1

Normal pulp

Question 2

What is the pulpal diagnosis for the following thermal test result:
Severe, momentary pain lasting 1-2 seconds after removal of stimulus

Answer 2

Reversible pulpitis

Question 3

What is the pulpal diagnosis for the following thermal test result:
Moderate to severe pain that lingers

Answer 3

Irreversible pulpitis

Question 4

What is the pulpal diagnosis for the following thermal test result:
No response to thermal test

Answer 4

Necrotic pulp

Question 5

What teeth do you perform pulp evaluation on?

Answer 5

Tooth, neighboring tooth, contralateral tooth

Question 6

When testing a tooth for cold, what teeth do you test?

Answer 6

Test adjacent teeth, contralateral teeth

Question 7

If a periodical radiolucency is present for a long time, with no symptoms and no sinus tract associated with necrotic pulp - what is the diagnosis?

Answer 7

Asymptomatic chronic periodontitis

Question 8

A molar is super-erupted and has irreversible pulpitis - what do you do?

Answer 8

RCT and Crown

Question 9

Patient has tooth that has sensitivity that lingers with thermal test, sinus tract, and is positive to percussion. What is the diagnosis?

Answer 9

Irreversible pulpitis w acute periodical abscess

Question 10

Prolonged, unstimulated night pain suggests which of the following conditions of the pulp?

Answer 10

Pulp necrosis

Question 11

Pulpal pain that only occurs at night with no stimulation suggests what condition of the pulp?

Answer 11

Pulpal necrosis

Question 12

Chronic periradicular abscess indicates:

Answer 12

Necrotic pulp

Question 13

What is the periapical diagnosis for the following signs/symptoms:
- No periradicular radiolucency and normal response to percussion and palpation

Answer 13

Normal periodontium

Question 14

What is the periapical diagnosis for the following signs/symptoms:
- Painful response to biting and percussion

Answer 14

Acute apical periodontitis

Question 15

What is the periapical diagnosis for the following signs/symptoms:
- Periradicular radiolucency without clinical symptoms

Answer 15

Chronic apical periodontitis

Question 16

What is the periapical diagnosis for the following signs/symptoms:
- Painful response to biting and percussion with periradicular radiolucency

Answer 16

Acute exacerbation of chronic apical periodontitis

Question 17

What is the periapical diagnosis for the following signs/symptoms:
- Rapid onset, spontaneous pain, tenderness to percussion, pus formation, and eventual swelling of associated tissues

Answer 17

Acute apical abscess

Question 18

What is the periapical diagnosis for the following signs/symptoms:
- Gradual onset, little or no discomfort and the intermittent discharge of pus through an associated sinus tract

Answer 18

Chronic apical abscess