Pulpal and Periradicular Disease Flashcards
When should a thorough ad complete update of the patient’s medical history be taken?
if the patient has not been seen in over a year
why should intraoral swellings should be visualized and palpated?
to determine whether they are diffuse or localized, firm or fluctuant
Which is the correct term: sinus tract or fistula?
sinus tract
If a patient is experiencing acute sensitivity or pain on mastication, how can this symptom be duplicated?
percussion
What does pain to percussion indicate?
inflammation in the periodontal ligament
What does pain to percussion indicate about pulp vitality?
nothing
Causes of inflammation of PDL (4)
- physical trauma
- occlusal prematurities
- periodontal disease
- extension of pulpal disease into PDL space
Why should clinicians tell the patient what will transpire during pulp testing?
more accurate clinical testing, as it reduces anxiety
Where should a clinician tap for percussion testing?
incisal or occlusal surface
What is indicated if a patient feels pain on horizontal percussion?
occlusal interference
What does a positive response to palpation indicate?
active periradicular inflammatory process
What does mobility indicate?
compromised periodontal attachment apparatus
Does mobility tell us anything about pulp vitality?
nope!
When should mobility be considered abnormal?
when exceeds 1mm
In what scenario would endo not help decrease periodontal pocketing?
if the tooth was originally vital with an associated deep perio pocket
