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Endodontics 1 > Pulpal Diagnosis > Flashcards

Pulpal Diagnosis Flashcards

1
Q

What is the main reason a patient comes to see you that is the most important in the diagnosis?

A

Chief complaint

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2
Q

We must obtain a______ through non-invasive means and,from this, develop a plan of action to alleviate the presenting problem

A

Clinical DX

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3
Q

Most head and neck pain is of ____ orgin

A

Odontogenic

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4
Q

If the pain is purely pulpal, is it easy or hard to localize?

A

Hard to localize

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5
Q

____ is used to test teeth for cold sensitivity

A

Endo ice

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6
Q

Can endo ice be used on teeth with crowns?

A

Yes

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7
Q

____ is performed (based on Chief complaint)

A

Clinical Testing

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8
Q

What are the 3 radiographs needed to diagnose pulpal issues?

A

PA
PA Shift Shot
Bitewing

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9
Q

Should you do an endodontic diagnosis when the patient has taken Ibuprofen?

A

No; wait until it wears off

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10
Q

If percussion will cause pain in inflammation, it is ________

A

Necrotic pulp

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11
Q

T/F: Answering the question of “WHY?”usually leads to an accurate diagnosis and a more successful treatment outcome

A

True

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12
Q

What are the 3 pulp statuses that can exist?

A

Normal
Inflamed (Symptomatic and Asymptomatic)
Necrotic

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13
Q

–Pulp is symptom free with normal response to pulp tests

A

WNL: (Normal Pulp)

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14
Q

–Inflammation of the pulp based on subjective and objective findings that should revolve and return the pulp to normal.

A

RP : (Reversible Pulpitis)

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15
Q

-Vital inflamed pulp that is incapable of healing.i.e. lingering pain to cold, sensitivity to heat, spontaneous pain.

A

SIP (Symptomatic Irreversible Pulpitis)

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16
Q

–Vital inflamed pulp incapable of healing. No clinical symptoms.Inflamed due to caries (chronic hyperplastic pulpitis) caries excavation (pulp exposure), trauma (fracture with exposed pulp tissue)

A

AAP (Asymptomatic Irreversible Pulpitis)

17
Q

–Death of the dental pulp (No Response to pulp tests)

A

Pulpal Necrosis (Necrosis)

18
Q

–Tooth has been endodontically treated with canals obturated with final root canal filling materials other than medicaments..

A

PT: (Previously Treated)

19
Q

–Tooth has been previously treated by partial endodontic therapy, i.e. pulp cap, pulpotomy/pulpectomy. RCT NOT completed

A

PIT (Previously Initiated Treatment)

20
Q

When doing pulp testing, should you test only the tooth in question?

A

No test teeth adjacent to establish a baseline

21
Q

If the tooth is sensitive and the pain linger for 10 secs or more, what is it?

A

SIP

22
Q

If the tooth is sensitive to cold but doesn’t linger, what is it?

A

RP

23
Q

If heat causes pain and the pain is spontaneous, what is it?

A

SIP

24
Q

Once a diagnosis occurs, can it change within a period of time?

A

Can change

25
Q

Both seriously Inflamed and Infected Pulpitis cases will ultimately lead to a _______ if left untreated long enough.

A

Necrotic pulp

26
Q

The Prime Objective of Clinical Testing is to objectively ______ the patient’s CC

A

REPRODUCE

27
Q

Always remember that we are not testing teeth, per se, as much as we are testing the patient’s _____ to a variety of stimuli over a variety of control teeth and suspected teeth

A

response

28
Q

What is the best method to test teeth for heat?

A

isolate individual teeth (1 @ a time)with rubber dam & drip warm (140 degree) water

29
Q

What is the best test to determine pulpal status?

A

Cold 90%

30
Q

If cold test for pulpal status is unclear, what should you go to next?

A

EPT

31
Q

Alternate method of vitality Testing if cold testing yields no results
A source of variable amperage high frequency electrical stimulation is applied to the surface of several teeth to determine if a response occurs (1-80):Actual # means very little about the condition of the pulp. Response or none*

A

EPT

32
Q

SHould the gingiva be touch when using EPT?

A

No

33
Q

Can you use EPT on tooth with a crown?

A

No

34
Q

_____ EPT test
Pulp undergoing liquefaction may still respond+
Teeth involved in bridges may transfer current
Touching gingiva –not drying & isolating tooth
Extremely apprehensive patient variability

A

False +

35
Q 
\_\_\_\_\_\_ EPT test
Dead (weak) batteries in EPT
Poor contact with tooth (tooth paste)
Extremely calcified teeth (old people)
Teeth tested shortly after eruption (-) Ad fibers
A

False -

36
Q

What 3 types of teeth don’t work well on?

A

Newly erupted teeth
Recently traumatized
Mature patients

37
Q

ENDODONTIC DIAGNOSIS Requires both _______ and _________ Diagnoses

A

PULPAL and a PERI-RADICULAR

Endodontics 1 (13 decks)

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