Imporant Info Random

Question 1

Select all that apply. Which one would lead to a PA lesion?
a. Asymptomatic Irreversible Pulpitis
b. Symptomatic Irreversible Pulpitis
c. Necrotic Pulp

Answer 1

ALL OF THEM
a. Asymptomatic Irreversible Pulpitis
b. Symptomatic Irreversible Pulpitis
c. Necrotic Pulp

Question 2

You have a tooth with no restoration, but pain is present. What should you do?

Answer 2

a. Quiz patient about recent history of trauma
b. Use tooth sloth/transilluminator

Question 3

A patient comes into the office and responds with lingering sensation to cold and pain. He is also very sensitive to percussion.
a. What is the patient’s pulpal status?

Answer 3

SIP
Symptomatic Irreversible Pulpitis

Question 4

A patient comes into the office and responds with lingering sensation to cold and pain. He is also very sensitive to percussion.
b. What is the patient’s periapical status?

Answer 4

SAP
Symptomatic Apical Periodontitis

Question 5

A patient comes into the office and responds with lingering sensation to cold and pain. He is also very sensitive to percussion.
c. What is the treatment of choice?

Answer 5

Referral to an endodontist for RCT

Question 6

A patient comes in with a draining and sinus tract and no response to pulp testing. Picture: tooth has a “bombed out” crown.
a. What is the patient’s pulpal status?

Answer 6

Pulpal necrosis

Question 7

A patient comes in with a draining and sinus tract and no response to pulp testing. Picture: tooth has a “bombed out” crown.
b. What is the patient’s periapical status?

Answer 7

CAA
Chronic Apical Abscess

Question 8

A patient comes in with a draining and sinus tract and no response to pulp testing. Picture: tooth has a “bombed out” crown.
c. What is the treatment of choice?

Answer 8

extraction

Question 9

A patient comes in with a chief complaint of pain with cold and chewing. There is an MO composite on #3. There is hypersensitivity to cold with lingering pain. There is response to percussion but not palpation.
a. What is the patient’s pulpal status?

Answer 9

SIP
Symptomatic Irreversible Pulpitis

Question 10

A patient comes in with a chief complaint of pain with cold and chewing. There is an MO composite on #3. There is hypersensitivity to cold with lingering pain. There is response to percussion but not palpation.
b. What is the patient’s periapical status?

Answer 10

SAP
Symptomatic Apical Periodontitis

Question 11

30 mesial broke. Response to cold without lingering pain. There is no pain to percussion or palpation. The radiograph shows deep mesial caries with intact lamina dura.

a. What is the patient’s pulpal status?

Answer 11

Reversible Pulpitis

Question 12

30 mesial broke. Response to cold without lingering pain. There is no pain to percussion or palpation. The radiograph shows deep mesial caries with intact lamina dura.

b. What is the patient’s periapical status?

Answer 12

Within normal limits – WNL

Question 13

Tooth #12 awoke the patient in the night. No response to cold or EPT. There is pain to percussion and buccal palpation. There is swelling on the buccal vestibule. The radiograph shows thick PDL.
a. What is the patient’s pulpal status?

Answer 13

Necrotic Pulp

Question 14

Tooth #12 awoke the patient in the night. No response to cold or EPT. There is pain to percussion and buccal palpation. There is swelling on the buccal vestibule. The radiograph shows thick PDL.
b. What is the patient’s periapical status?

Answer 14

Acute Apical Abscess?

Question 15

Patient has pain in upper right teeth, #2-8. All teeth are WNL. #30 is hypersensitive to cold with lingering pain.
a. Why can’t the patient localize the location of the pain?

Answer 15

Only pain fibers are present and not specific.

Question 16

Choose two correct statements for a patient you cannot diagnose treatment for but are symptomatic.

Answer 16

a. Give antibiotics until a diagnosis can be made (seems wrong?-molly)
b. Refer to an endodontist

Question 17

A patient came in complaining of pain and could point to the tooth. Percussion testing was positive. The radiograph showed caries but no radiolucency. The most likely diagnosis is?

Answer 17

Both pulpal and periapical

Question 18

A woman came in complaining of pain. Testing was done but no results. She has never been to an MD. What do you do?

Answer 18

Refer out to an MD or facial pain specialist

Question 19

Tooth is sensitive to hot and the pain does not linger. What is the patient’s pulpal status?

Answer 19

Irreversible Pulpitis

Question 20

True or False. Saliva contamination of the canal can increase infection. You should leave the tooth open to drain, following RCT.

Answer 20

False

Question 21

Why don’t we recommend leaving an abscessed tooth open?

Answer 21

Introduction to new bacteria can complicate infection

Question 22

Epithelial rests cells are remnant of the?

Answer 22

root sheath

Question 23

True or False. We must obtain clinical, radiographical, and histological testing in order to make a complete diagnosis.

Answer 23

False – we do not need to obtain a histological diagnosis

Question 24

True or False. We can get the best diagnosis from doing selective anesthesia testing.

Answer 24

False