Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Oral Surgery > Pain Diagnosis and Indications for Extractions > Flashcards

Pain Diagnosis and Indications for Extractions Flashcards

1
Q

What does Tx mean?

A

Treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is normal mouth opening?

A

35mm (3 fingers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What should you describe about a swelling?

A

Size, site, and firm/soft

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the common special tests?

A

Tender to Tap Test, Millers Mobility Index, sensitivity testing (ethyl chloride, EPT), periodontal pocketing, radiographs (usually IOPA/OPG)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is grade 0 of Millers Mobility Index?

A

No mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is grade 1 of Millers Mobility Index?

A

<1mm mobility in buccolingual direction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is grade 2 of Millers Mobility Index?

A

> 1mm and <2mm mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is grade 3 of Millers Mobility Index?

A

> 2mm mobility/depressibility in socket

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does one deep pocket often indicate?

A

Root fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the general rule of radiographs for extractions?

A

> 12 months old take a new radiograph

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the radiograph of choice prior to extractions for third molars?

A

OPG (ID canal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the radiograph of choice prior to extractions with the exception of third molars?

A

Periapical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What structures are adjacent to the upper 6’s?

A

Maxillary sinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What structures are adjacent to the lower third molars?

A

ID canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When can a treatment plan be formulated?

A

Only once a diagnosis has been made

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the types of dental pain?

A

Reversible pulpitis, irreversible pulpitis, acute apical periodontitis, chronic apical periodontitis, acute apical abscess, and chronic apical abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the features of history of reversible pulpitis?

A

Provoked, pain with stimulus (cold/ sweet), short lived, and sharp pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the usual clinical findings of reversible pulpitis?

A

Caries and tooth usually restorable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the usual sensibility testing for reversible pulpitis?

A

Hypersensitive to cold test and vital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the TTP for reversible pulpitis?

A

Negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the usual radiographic findings for reversible pulpitis?

A

Caries in tooth, not into pulp and normal apical tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the usual treatment of reversible pulpitits?

A

Removal of caries and restoration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the features of history of irreversible pulpitis?

A

Spontaneous intense pain, pain lasts much longer than stimulus, and some patients find cold water helps pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the usual clinical findings of irreversible pulpitis?

A

Deep caries, usually into/very close to pulp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the sensibility testing for irreversible pulpitis?

A

May be positive/no response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the TTP for reversible pulpitis?

A

Usually, negative

27
Q

What are the radiographic findings for irreversible pulpitis?

A

Caries in tooth, usually into pulp, and normal apical tissues

28
Q

What is the usual treatment for irreversible pulpitits?

A

RCT/extraction

29
Q

What are the features of history of acute apical periodontitis?

A

Severe aching pain, keeping patient awake at night, analgesia may not be helping

30
Q

What are the usual clinical findings of acute apical periodontitis?

A

Deep caries, involving pulp/severe periodontal disease (perio-endo lesion)

31
Q

What is the sensibility testing for acute apical periodontitis?

A

Negative and non-vital

32
Q

What is the TTP for acute apical periodontitis?

A

Positive

33
Q

What are the radiographic findings for acute apical periodontitis?

A

PDL widening, may/may not be an apical area
If an apical area also known as ‘acute exacerbation of a chronic apical periodontitis’

34
Q

What is the usual treatment for acute apical periodontitis?

A

RCT/extraction

35
Q

What are the features of history of chronic apical periodontitis?

A

Tooth not painful, may be an incidental finding, and may be a history of previous pain which has settled

36
Q

What are the usual clinical findings for chronic apical periodontitis?

A

Deep caries, involving pulp and tooth broken down/severe periodontal disease (perio-endo lesion)

37
Q

What is the sensibility testing for chronic apical periodontitis?

A

Negative and non-vital

38
Q

What is the TTP for chronic apical periodontitis?

A

Negative

39
Q

What are the radiographic findings for chronic apical periodontitis?

A

Apical radiolucency

40
Q

What is the usual treatment for chronic apical periodontitis?

A

RCT/extraction

41
Q

What are the features of history of acute apical abscess?

A

Severe pain, swelling, and may be feeling unwell with a fever

42
Q

What are the usual clinical findings of acute apical abscess?

A

Swelling (intra oral +/- extra oral swelling) pus collection, and may be perio/endo in origin

43
Q

What is the sensibility testing of acute apical abscess?

A

Negative and non-vital

44
Q

What is the TTP of acute apical abscess?

A

Positive

45
Q

What are the radiographic findings of acute apical abscess?

A

PDL widening, may/may not be an apical area

46
Q

What is acute apical abscess known as if radiographic findings of an apical area?

A

Acute exacerbation of a chronic apical abscess

47
Q

What is the usual treatment of acute apical abscess?

A

Establish drainage, then definitive treatment RCT/XLA

48
Q

How long does it take for a periapical area to appear on a radiograph?

A

2 weeks

49
Q

What are the features of history of a chronic apical asbcess?

A

Not usually painful, small swelling that drains, bad taste

50
Q

What are the usual clinical findings of a chronic apical abscess?

A

Sinus/draining sinus on gingivae

51
Q

What is the usual sensibility testing of a chronic apical abscess?

A

Negative and non-vital

52
Q

What is the TTP of a chronic apical abscess?

A

Negative

53
Q

What are the radiographic findings of a chronic apical abscess?

A

Apical radiolucency

54
Q

What is the usual treatment of a chronic apical abscess?

A

RCT/extraction

55
Q

What are GP points used for?

A

To track through sinus tracts to locate the source of infection and the offending tooth

56
Q

What are hard palate abscesses most commonly related to?

A

Maxillary lateral incisors

57
Q

Why may you get a positive sensibility test in a multi-rooted tooth in acute apical periodontitis?

A

Mesio-buccal root is vital and distal is non-vital

58
Q

What other condition has features that are similar to reversible pulpitis?

A

Dentine hypersensitivity

59
Q

What is the weight limit for the dental chair?

A

21 stone

60
Q

What is pericoronitis?

A

An inflammation/swelling of your gum tissue

61
Q

What is orthognathic surgery?

A

Corrective jaw surgery

62
Q

What is a coronectomy?

A

Remove the crown of the tooth and leave the tooth’s roots in your jaw, intact

63
Q

How is pericoronitis diagnosed?

A

Clinically with the presence of soft tissue inflammation and swelling

Oral Surgery (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions