Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

2ND YR- CSA- Treatment planning > Pain history and diagnosis > Flashcards

Pain history and diagnosis Flashcards

1
Q

Describe the dental tissues and surrounding periodontium

A

They are richly innervated

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

Why can do we feel frequent pain when we have a dental problem?

A

As dental tissues are deeply innervated

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

Name the3 sources of dental pain

A
  1. Dentinal tubular fluid flow
  2. Raised pulpal pressure
  3. Periodontal inflammation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why is the pulp-dentine complex sensitive?

A

As dentine contains tubules

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

What do tubules contain?

A
  1. Odontoblast processes

2. Tubular fluid

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

What causes tubular fluid movement according to the hydrodynamic theory

A
  1. Heat
  2. Cold
  3. Desiccation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens to tubular fluid when it is exposed to a hot stimulus?

A

Fluid expands

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

What happens to tubular fluid when it is exposed to a cold stimulus?

A

Fluid contracts

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

What happens to tubular fluid when it is exposed to a desiccation stimulus?

A

Fluid is drawn out of the tubules

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

Describe the hydrodynamic theory

A
  1. Fluid movement due to a stimulus leads to stimulation of nerves associated with the odontoblasts
  2. Th nerve impulses generated give rise to the sensation of pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What can cause sensitivity?

A

Anything which results in the exposure of dentinal tubules

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

Give example of what can cause exposure of dentinal tubules

A
  1. Gingival Recession
  2. Caries
  3. Trauma
  4. Erosion, abrasion and attrition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How does an inflamed pulp response to offending stimuli ?

A

Depositing reactionary and reparative secondary dentine

Tis leafs to tubular sclerosis permeability

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

What is reversible pulpitis?

A

When an inflamed pulp ha the capacity to repair itself

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

What happens if the stimulus inflaming the pup isn’t removed?

A

The pup may become irreversibly damaged developing irreversible pulpitis

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

What will eventually happen to a tooth with irreversible pulpitis?

A

It will die

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

What are the treatment option for a tooth with irreversible pulpitis?

A
  1. Extraction

2. Root canal

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

What are the treatment option for a tooth with reversible pulpitis?

A

Caries removal and restoration placement

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

List some causes o pulpal inflammation?

A
  1. Caries
  2. . Trauma
  3. Abrasion, erosion, attrition
  4. Restorative procedure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the symptoms of reversible pulpitis?

A
  1. Short sharp poorly localised pain
  2. Sensitive to hot, cold and sweet stuff
  3. No spontaneous onset
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are we looking for when checking fro reversible pulpitis?

A

Caries
Tooth wear
Heavily restored tooth

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

What result would you get from a pulp yes for a tooth with reversible pulpitis?

A

Exaggerated response

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

What are the symptoms of irreversible pulpitis?

A
  1. Constant dull ache
  2. Throbbing poorly localised pain that radiated widely
  3. Worsens with heat
  4. Pain lasts or a lng duration
  5. Spontaneous onset
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are we looking for when checking for irreversible pulpitis?

A

Caries
Tooth wear
Heavily restored tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What result would you get from a pulp yes for a tooth with irreversible pulpitis?
Exaggerated response
26
What might you see on a radiograph of a tooth with irreversible pulpitis
May be slight PDL space widening e
27
What are the symptoms of acute periapical periodontitis?
1. Short shooting pain that is well localised 2. Pain worsens when biting 3. Short duration 4. No spontaneous onset
28
What are we looking for when checking for acute periapical periodontitis?
1. Occlusal trauma 2. Cracks 3. Wear facets 4. Overload teeth
29
If you tap on a tooth with acute periapical periodontitis what would you expect?
Tenderness to percussion
30
What might you see on a radiograph of a tooth with acute periapical periodontitis?
Expect PDL space widening
31
What are the symptoms of acute periapical abscess ?
1. Severe throbbing pain the I well localised 2. Worsens on biting and lasts for along duration 3. Spontaneous onset
32
What are we looking for when checking for acute periapical abscess?
1. May be swelling intra or extra orally 2. Exquisitely tender 3. Mobile tooth
33
If you tap on a tooth with an acute periapical abscess what would you expect?
Will b very tender to percussion
34
What results would you expect from a pulp vitality test for a tooth with an acute periapical abscess?
Will show the tooth is non vital
35
What would you se on a radiograph of a tooth with an acute periapical abscess?
Periapical radiolucency
36
What are the symptoms of chronic periapical periodontitis?
1. May be asymptomatic | 2. Constant lo grades ache that worsens on biting
37
What would you expect to see when checking for a chronic periapical periodontitis?
1. Discoloured 2. Heavily restored tooth 3. Slight tenderness in buccal sulcus
38
If you tap on a tooth with chronic periapical periodontitis what would you expect?
Slight tender to percussion
39
What result would you get from a pulp test for a tooth with chronic periapical periodontitis?
All show the tooth is non vital
40
What would you expect to see on a radiograph of a tooth with chronic periapical periodontitis ?
Expect PDL space widening
41
What are the symptoms of chronic periapical abscess?
1. May be asymptomatic 2. Repeated swelling on gums that can burst to yield pus 3. Low grade dull ache
42
What would you expect to see when checking for a chronic periapical abscess?
Sinus papilla on alveolus (pus maybe presented) | Slight tenderness on palpation
43
What results would you expect from a pulp vitality test for a tooth with a chronic periapical abscess?
The tooth will be non vital
44
What would you expect to see from a radiograph of a tooth with a chronic periapical abscess
Periapical radiolucency
45
What must you do before reaching a diagnosis?
1. History including a detailed pain history 2. Clinical examination 3. special investigations
46
Why is it important to tale a thorough pain history?
1. To be able to determine nature and organ of pain 2. Establish an accurate diagnosis 3. To be able to provide the appropriate treatment
47
What should a good pain history help you be able to determine?
Determine the likely cause of the patients pain
48
What acronym do we use to make sure we have asked all the appropriate questions in regard to pain history |
SOCRATES
49
What does SOCRATES stand for|
``` Site Onset Character Radiation Association Timing Exacerbating/ relieving factors Severity ```
50
Once you have taken a detailed history what should you do | /
Perform a thorough clinical examination
51
What does a clinical examination compose of?
1 Extra oral examination | 2. Intra oral examination
52
What should we look for when we are taking an extra oral exam?
1. Assessment of symmetry 2. Palpation of lymph nodes 3. Palpation of muscles of mastication 4. Assessment of TMJs
53
What should we look for when we are taking an intra oral exam in relation to soft tissues?
1. Mucosal lesions 2. Soft tissue swelling 3. Suppuration 4. Tenderness of alveolus 5. Periodontal exam
54
What should we look for when we are taking an intra oral exam in relation to hard tissues?
1. Caries 2. Heavily restored teeth 3. Cracks 4. Wear facets on teeth
55
Name some special tests we might do?
1. Sensibility testing 2. Tenderness to percussion 3. Check for occlusal trauma 4. Radiographs 5. tooth slooth
56
What can we use to carry out a pulp sensibility (vitality) east?
1. Thermal stimuli 2. Electric pulp test 3. Test cavity without LA
57
What are some thermal stimuli we can us to check for pulp vitality
Cold: 1. Ethyl chloride 2, Ice stiks Hot: Hot Gutta percha Hot water
58
What are we looking for when using thermal stimuli to check tooth vitality?
1. hypersensitive teeth (may indicate pulpal inflammation) | 2. Non responsive tooth (May indicate pulp necrosis)
59
What response would a sound tooth have to thermal stimuli?
Sound tooth will be sensitive to hot and cold
60
How does an electric pulp test work?
It passes an electric current through the tooth
61
What must you remember before carrying out an electric pulp test?
1. Always dry the teeth first 2. High reading means LESS responsive tooth 3. Low reading may indicate pulpal inflammation
62
Which teeth do we usually carry out n electric pulp test on|
Tooth we are interested in and the contralateral tooth
63
How is a normal thermal stimulus charted?
+
64
How is no response from thermal stimuli test charted?
-
65
How is a hypersensitive result from a thermal stimuli test charted?
++
66
What are the problems with sensibility tests?
They are highly variable
67
What do sensibility tests depend on?
1. Restorations present 2. Patients pain threshold 3. Degree of pulp chamber necrosis
68
What type of tooth might provide conflicting results from a sensibility test?
Multi-rooted teeth as their may be necrosis of part of the pulp whilst the remainder maybe inflamed but the nth still maintains its vitality
69
IF a patient complains of pain on biting what can you do?
Gently tap the teeth to identify the cause
70
What does tenderness on percussion indicate?
Indicates periradicular inflammation
71
What can periradicular inflammation be due to?
1. Abscess 2. Occulusal trauma 3. Root fracture
72
What symptoms will a tooth that receives excessive occlusal trauma display?
1. Tender to bite | 2. Sensitive to hot/cold
73
What are some signs of occlusal trauma?
1. Tooth TTP/ mobility 2. Wear facets (shiny spots of amalgam 3. Heavy contacts identified with articulating paper
74
What do you need to look out for when taking radiographs?
1. Caries 2. Periodontal support 3. Bony defects 4. Periapical pathology
75
Give examples of piratical pathology
1. PDL widening 2. Loss of lamina dura 3. Periapical radiolucency

2ND YR- CSA- Treatment planning (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions