Endodontics - Types of Apical Diagnoses

Question 1

In a tooth with SYMPTOMATIC APICAL PERIODONTITIS what stimuli generates a painful response?

Answer 1

biting
Percussion
Palpitation

Question 2

What response is indicative of a degenerating pulp?
What are the nest steps?

Answer 2

Severe pain with percussion or palpitation

Root canal treatment/extraction.

Question 3

How does ASYMPTOMATIC APICAL PERIODONTITIS present on a radiograph?

Answer 3

Apical radiolucency

Question 4

Describe the clinical symptoms of ASYMPTOMATIC APICAL PERIODONTITIS.

Answer 4

None - no pain with percussion or palpitation.

Question 5

How does a CHRONIC APICAL ABSCESS present on a radiograph?

Answer 5

radiolucency and osseous destruction.

Question 6

Describe the characteristics of a CHRONIC APICAL ABSCESS.

Answer 6

Possible discharge from a draining sinus tract.

Gradual onset

Little/no discomfort.

Question 7

How does an ACUTE APICAL ABSCESS present on a radiograph?

Answer 7

Possible no signs of destruction

Question 8

What are the symptoms of an ACUTE APICAL ABSCESS?

Answer 8

Malaise
Fever
Lymphadenopathy
Swelling of tissues

Question 9

What are the characteristcs of an ACUTE APICAL ABSCESS?

Answer 9

Rapid onset

Spontaneous pain

Pus formation

Extreme tenderness of the tooth

Question 10

In terms of the swelling associated with an acute apical abscess, what must you be cautious of?

Answer 10

Swelling of the eye
Swelling of the airway