pain and primary tooth pulp therapy

Question 1

signs of reversible pulpitis

Answer 1

1. clinical signs of caries
2. not TTP
3. no abnormal mobility
4. no signs of infection

Question 2

signs of irreversible pulpitis

Answer 2

1. clinical signs of caries
2. not TTP
3. no abnormal mobility
4. no signs of infection

Question 3

signs of periradicular periodontitis

Answer 3

1. clinical signs of caries
2. increased mobility
3. TTP
4. signs of infection

Question 4

symptoms of reversible pulpitis

Answer 4

short lived pain
does not linger
pain in direct response to stimuli

Question 5

symptoms of irreversible pulpitis

Answer 5

spontaneous pain
prolonged
lingers on removal of stimuli
pt wakes from sleep

Question 6

symptoms of periradicular periodontitis

Answer 6

often acute symptoms gone
dull throbbing pain
can be asymptomatic

Question 7

what are the 3 signs of infection

Answer 7

swelling
sinus
suppuration

Question 8

what is the criteria for restoring a tooth

Answer 8

no signs of irreversible pulpitis
no infection
no sinus
clear band of dentine separating the pulp from caries

Question 9

what are options if there are symptoms of irreversible pulpitis

Answer 9

pulp therapy
extract
monitor

Question 10

what are the types of pulp therapy

Answer 10

vital pulp therapy - pulpotomy
non vital pulp therapy - pulpectomy

Question 11

medical factors for carrying out pulpotomy

Answer 11

at risk from xLA - bleeding disorder
at risk from GA - cystic fibrosis

Question 12

social factors for carrying out pulpotomy

Answer 12

regular attender
good compliance with preventative advice
positive parental attitudes

Question 13

when do you not do a pulpotomy

Answer 13

preecoperation
more than 3 pulp therapies needed
extensive root resorption
tooth unrestorable
signs of infection

Question 14

medical disorders that contraindicate pulpotomy

Answer 14

those at risk from residual infection - endocarditis/ immunocompromised

Question 15

how many roots do lower primary molars have

Answer 15

2

Question 16

what are the canal orifices of primary mandibular molars

Answer 16

mesial and distal

Question 17

how many distal root canals are in a mandibular primary molar

Answer 17

1 or 2

Question 18

where do you find the pulp horns of a primary mandibular molar

Answer 18

below the cusps

Question 19

how many roots do primary maxillary molars have

Answer 19

3

Question 20

how many canals do upper maxillary primary molar have

Answer 20

3
mesiobuccal
distobuccal
palatal

Question 21

haemostatic medicaments

Answer 21

ferric sulphate (15.5%) - apply for 2 mins
mineral trioxide aggregate (MTA)

Question 22

other haemostatic options

Answer 22

saline
LA with vasoconstrictor

Question 23

what do you fill the pulp chamber with

Answer 23

zinc oxide-eugenol cement

Question 24

what is the tooth restored with following pulpotomy

Answer 24

stainless steel crown

Question 25

what is used to stick down a hall crown

Answer 25

GI cement

Question 26

what stages are required if pulpotomy turns into a pulpectomy

Answer 26

gently debride canals with endodontic file (2mm short of WL), up to size 30

irrigate with chlorhexidine

Question 27

pulpectomy technique

Answer 27

dry canals
fill with non-setting calcium hydroxide
restore with glass ionomer core
restore with SS crown

Question 28

complications of primary molar pulp therapy

Answer 28

early resorption leading to early exfoliation
over-preparation
infection
caries