Endodontics L4: Clinical examination and history

Question 1

Q19: a class 1 for mobility would indicate what?

Answer 1

Bucco-lingually mobility less than 1mm

Question 2

Q7: when recording information regarding pain history, what information should we be recording?

Answer 2

Location: where, localised/diffused, referred, radiating to.

Commencement: when it first started.

Duration: of symptoms (seconds, minutes, hours, days) and intermittent/constant.

Onset: stimulation required, spontaneous.

Question 3

Q17: what is the BPE score; probing depths of 6 mm or more present?

Answer 3

BPE score 4

Question 5

Q13: what is the BPE score; no probing depths >3.5 mm, no calculus/overhangs, but bleeding after probing?

Answer 5

BPE score 1

Question 6

Q18: a class 0 for mobility would indicate what?

Answer 6

Normal physiological mobility

Question 7

Q15: what is the BPE score; no probing depths >3.5 mm, no calculus/overhangs, no bleeding after probing?

Answer 7

BPE score 0

Question 8

Q4: which phase would you start doing special test to determine a diagnosis?

Answer 8

Phase three

Question 9

Q24: if a patient were to exhibit a mild to moderate response to a percussion test, what would this indicate?

Answer 9

Periodontal inflammation/periodontal disease.

Question 10

Q21: a class 3 for mobility would indicate what?

Answer 10

Vertical mobility

Question 11

Q10: what must be updated at every visit by the patient?

Answer 11

Medical history

Question 12

Q12: if there is swelling present what characteristics must we identify of the swelling?

Answer 12

Diffused/localised and firm/fluctuant

Question 13

Q26: what does pulp sensibility testing stimulate?

Answer 13

Sensory nerve fibres.

Question 14

Q30: if a patient cannot identify the region of the pain and you do a IANB, and you see that the patient feels no pain, what can you determine? .

Answer 14

You can determine that the pain is in the lower mandible

Question 15

Q28: if the inflammatory mediators have not yet reached the periodontal ligaments, it would make it difficult for the patient to identify the location of the pain. What special investigation can you do to help determine the location of the pain?

Answer 15

Selective anaesthesia

Question 16

Q22: what would a percussion examination on a tooth determine?

Answer 16

Periapical inflammation

Question 17

Q27: which special investigation test involves cutting a test cavity?

Answer 17

Direct dentine stimulation

Question 18

Q23: if a percussion test exhibits a severe response such as sharp pain and the patient withdrawing, what would this indicate?

Answer 18

Periapical inflammation

Question 19

Q2: which two periapical tests would you do to determine a diagnosis involving the periapical?

Answer 19

Percussion and palpation.

Question 20

Q16: what is the BPE score; probing depths of 3.5 – 5.5 mm present?

Answer 20

BPE score 3

Question 21

Q6: what must you do when writing patients complaints in the notes?

Answer 21

Write in patients own words.

Question 22

Q1: the clinical examination is broken down to two parts what are they?

Answer 22

Subjective and objective parts.

Question 23

Q3: which two periodontal examinations would you do to determine a diagnosis involving the periodontal?

Answer 23

BPE and mobility

Question 24

Q25: what would a palpation test determine?

Answer 24

Determines if inflammation has extended periapically

Question 25

Q8: if a patient is in intense pain and is not getting any relief from analgesics, is it most likely to be recent onset or long-standing pain?

Answer 25

Recent onset

Question 26

Q5: what must a working diagnosis include?

Answer 26

Both pulpal and periapical.

Question 27

Q20: a class 2 for mobility would indicate what?

Answer 27

Bucco-lingually mobility 1-2 mm

Question 28

Q9: if a patient is in intense pain, with no relief from analgesics what are the likely cause?

Answer 28

Irreversible pulpitis or acute apical abscess

Question 29

Q14: what is the BPE score; no probing depths >3.5 mm, but supra- or sub-gingival calculus/overhangs present?

Answer 29

BPE score 2

Question 30

Q11: after how many years must a new medical history form be completed?

Answer 30

2 years.

Question 31

Q29: which special investigation technique can help determine cracks and fractures?

Answer 31

Transillumination.