Recap of Pulpal Diagnosis and Periapical Diagnosis Flashcards
If there are no symptoms and pulp testing has…
Hot - N/A
Cold - WNL
EPT - N/A
Normal Pulp
If the symptoms are pain to cold and the pulp testing has…
Hot - N/A
Cold - yes but not lingering
EPT - yes but not lingering
Reversible Pulpitis
If the symptoms are pain to cold and possibly hot as well as spontaneous pain and the pulp testing has…
Hot - N/A or +
Cold - yes and does linger
EPT - yes and does linger
Symptomatic irreversible pulpitis
If there are no symptoms and the pulp testing has…
- Caries excavation is planned, then there is pulp exposure and bleeding
- Pulp Polyp
Cold - Yes
EPT - Yes
Asymptomatic irreversible pulpitis
If there are no symptoms and the pulp testing has…
Hot - NO response
Cold - NO response
EPT - NO response
Necrotic Pulp
What is the periapical diagnosis for no radiolucency and no pain?
Within normal limits
What is the periapical diagnosis for yes or no radiolucency and pain?
Symptomatic Apical Periodontitis
or
Acute Apical Abscess
What is the periapical diagnosis for yes radiolucency and no pain?
Asymptomatic Apical Periodontitis
or
Chronic Apical Abscess
What is the periapical diagnosis for a radiopaque lesion?
Condensing Osteitis
Pulp is symptom free with normal response to pulp tests
WNL: (Normal Pulp)
Inflammation of the pulp based on subjective and objective findings that should revolve and return the pulp to normal.
RP : (Reversible Pulpitis)
Vital inflamed pulp that is incapable of healing. i.e. lingering pain to cold, sensitivity to heat, spontaneous pain.
SIP (Symptomatic Irreversible Pulpitis)
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)
AAP (Asymptomatic Irreversible Pulpitis)
Death of the dental pulp (No Response to pulp tests)
Pulpal Necrosis (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 by partial endodontic therapy, i.e. pulp cap, pulpotomy/pulpectomy. RCT NOT completed
PIT (Previously Initiated Treatment)
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)
