Recap of Pulpal Diagnosis and Periapical Diagnosis

Question 1

If there are no symptoms and pulp testing has…

Hot - N/A
Cold - WNL
EPT - N/A

Answer 1

Normal Pulp

Question 2

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

Answer 2

Reversible Pulpitis

Question 3

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

Answer 3

Symptomatic irreversible pulpitis

Question 4

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

Answer 4

Asymptomatic irreversible pulpitis

Question 5

If there are no symptoms and the pulp testing has…

Hot - NO response
Cold - NO response
EPT - NO response

Answer 5

Necrotic Pulp

Question 6

What is the periapical diagnosis for no radiolucency and no pain?

Answer 6

Within normal limits

Question 7

What is the periapical diagnosis for yes or no radiolucency and pain?

Answer 7

Symptomatic Apical Periodontitis
or
Acute Apical Abscess

Question 8

What is the periapical diagnosis for yes radiolucency and no pain?

Answer 8

Asymptomatic Apical Periodontitis
or
Chronic Apical Abscess

Question 9

What is the periapical diagnosis for a radiopaque lesion?

Answer 9

Condensing Osteitis

Question 10

Pulp is symptom free with normal response to pulp tests

Answer 10

WNL: (Normal Pulp)

Question 11

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

Answer 11

RP : (Reversible Pulpitis)

Question 12

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

Answer 12

SIP (Symptomatic Irreversible Pulpitis)

Question 13

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)

Answer 13

AAP (Asymptomatic Irreversible Pulpitis)

Question 14

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

Answer 14

Pulpal Necrosis (Necrosis)

Question 15

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

Answer 15

PT: (Previously Treated)

Question 16

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

Answer 16

PIT (Previously Initiated Treatment)

Question 17

Teeth not sensitive to percussion or palpation. Lamina dura is intact and the PDL is uniform and unbroken.

Answer 17

WNL: (Normal)

Question 18

Inflammation of the periodontium producing a painful response to biting/percussion/maybe palpation.

Answer 18

SAP: (Symptomatic Apical Periodontitis)

Question 19

Inflammation and destruction of the periodontium that is of pulpal origin appearing as a radiolucent area with no clinical symptoms.

Answer 19

AAP (Asymptomatic Apical Periodontitis)

Question 20

Inflammatory reaction to pulpal infection with rapid onset, spontaneous pain, tooth tender to pressure, pus formation and SWELLING & FEVER

Answer 20

AAA (Acute Apical Abscess)

Question 21

Inflammatory reaction to pulpal infection with gradual onset, little or no discomfort and DRAINING SINUS TRACT.

Answer 21

CAA: (Chronic Apical Abscess)

Question 22

Diffuse radiopaque lesion representing a localized boney reaction to a low-grade inflammatory stimulus

Answer 22

CO: (Condensing Osteitis)