Pulpal/Apical Diagnosis Quick Study Flashcards
Pulp is symptoms free with normal response to pulp tests
WNL (normal pulp)
Inflammation of pulp based on subjective and objective findings that should revolve and return to normal
RP (reversible pulpitis)
Vital inflamed pulp that is incapable of healing.
- Lingering pain to cold
- Sensivity to heat
- Spontaneous pain
SIP (symptomatic irreversible pulpitis)
Vital inflamed pulp incapable of healing.
- No clinical symptoms
- Inflamed due to caries, caries excavation, trauma
AAP (asymptomatic irreversible pulpitis)
Death of the dental pulp
- No reponse to pulp tests
Pulpal necrosis
Tooth has been endodontically treated with canals obturated with final root canal filling materials other than medicaments
PT (previously treated)
Tooth has been previously treated be partial endodontic therapy (RCT no completed)
PIT (previously initiated treatment)
- No symptoms
- No Hot
- WNL Cold
- WNL EPT
normal pulp
- Symptoms: pain to cold with no lingering or spontaneous pain
- N/A Hot or some
- Yes Cold
- Yes EPT
reversible pulpitis
- Symptoms: Pain to cold and possibly hot, lingering pain, spontaneous pain
- N/A Hot or Yes
- Yes Cold (lingering)
- Yes EPT
Symptomatic irreversible pulpitis
- Symptoms: none
- N/A Hot
- N/A Cold
- N/A EPT
asymptomatic irreversible pulpitis
- Syptoms: No pulpal pain
- N/A Hot
- N/A Cold
- N/A EPT
Necrotic pulp
Teeth not sensitive to percussion or palpation. Lamina dura is intact and the PDL is uniform and unbroken
WNL (normal)
Inflammation of the periodontium producing a painful response to biting/percussion/maybe palpation
SAP (symptomatic apical periodontitis)
Inflammation and destruction of the periodontium that is of pulpal origin appearing as a radiolucent area with no clinical symptoms.
AAP (Asymptomatic Apical Periodontitis)
Inflammatory reaction to pulpal infection with rapid onset, spontaneous pain, tooth tender to pressure, pus formation and SWELLING & FEVER
AAA (Acute Apical Abscess)
Inflammatory reaction to pulpal infection with gradual onset, little or no discomfort and DRAINING SINUS TRACT.
CAA (Chronic Apical Abscess)
Diffuse radiopaque lesion representing a localized boney reaction to a low-grade inflammatory stimulus.
CO (Condensing Osteitis)
Radiographic findings: None
Pain: None
Normal (WNL)
Radiographic findings: Yes or no radiolucency
Pain: Yes
- SAP (symptomatic apical periodontitis)
- AAA (acute apical abscess)
Radiographic findings: YES radiolucency
Pain: None
- AAP (asymptomatic apical periodontitis)
- CAA (chronic apical abscess)
Radiographic findings: radiopaque lesion
CO (condensing osteitis)
- Symptoms: none
- Hot: WNL
- Cold: WNL
- EPT: WNL
- Percussion: WNL
- Palpation: WNL
- Probing: WNL
- Mobility: WNL
- Swelling: None
- DST: None
- Radiographs: Normal
WNL (normal)
- Symptoms: Sensitive to percussion and biting pressure
- Hot: variable
- Cold: variable
- EPT: variable
- Percussion: YES
- Palpation: variable
- Probing: variable
- Mobility: variable
- Swelling: None
- DST: None
- Radiographs: Thickened PDL or none
SAP (symptomatic apical periodontitis)
- Symptoms: Not sensitive
- Hot: No response
- Cold: No response
- EPT: No response
- Percussion: WNL
- Palpation: WNL
- Probing: WNL
- Mobility: WNL
- Swelling: None
- DST: None
- Radiographs: Thickened PDL or none
AAP (asymptomatic apical periodontitis)
- Symptoms: very sensitive to percussion and biting pressure
- Hot: No response
- Cold: No response
- EPT: No response
- Percussion: YES
- Palpation: YES
- Probing: variable
- Mobility: variable
- Swelling: RAPID and extensive
- DST: No
- Radiographs: Thickened PDL or P/A area
AAA
(acute apical abscess)
- Symptoms: may or may not be symptomatic
- Hot: no response
- Cold: no response
- EPT: no response
- Percussion: Yes/none
- Palpation: Yes/none
- Probing: variable
- Mobility: variable
- Swelling: minimal or no swelling
- DST: YES
- Radiographs: definite P/A area
CAA (chronic apical abscess)
