RQ Flashcards
Which teeth do you preform cold test on?
Tooth, Neighbor tooth, Contralateral tooth
A tooth exhibits an apical radiolucency for a long period of time, is asymptomatic, does not have associated sinus tract, with a necrotic pulp. What is your diagnosis?
Asymptomatic chronic apical periodontitis
While performing a root canal on a tooth with periapical radiolucency but “without a pulp,” you obtain your access but do not find a canal. What do you do?
Refer to an endodontist
You come across a molar that is supraerupted with irreversible pulpitis. What do you do? (Need to look at patient dental chart and findings to answer)
RCT and Crown
Patient with tooth that has sensitivity that lingers with thermal test, sinus tract, and positive to percussion, what does the patient have?
Irreversible pulpitis with acute periapical abscess
Prolonged, unstimulated night pain suggests which of the following conditions of the pulp?
Pulp necrosis
A Chronic periradicular abscess indicates:
Necrotic pulp
What does percussion test?
Presence of inflammation in PDL or not
What does palpation test?
Spread of inflammation to periodontium from PDL or not
What does EPT (Electronic Pulp Test) test?
Responsiveness (does not test vitality (i.e. necrotic, reversible pulpitis, etc.)
EPT (Electronic Pulp Test) does not indicate?
Health of the pulp
How do you differentiate between an endodontic versus periodontic lesion?
EPT
What does thermal (hot or cold) test? Hot = irreversible, Cold = reversible/irreversible
Pulp Vitality
What is the differential diagnosis of a periodontal abscess & periradicular abscess?
Vitality
Which statement is incorrect?
Do EPT for traumatic tooth
If you have pain, what would be the hardest to anesthetize?
Irreversible pulpitis and mandibular
When heat is applied to the tooth, lingering pain for several minutes indicates
Irreversible pulpitis
What is diagnosis for lingering pain to cold and sensitivity to percussion?
Irreversible pulpitis & acute periapical abscess (acute periapical periodontitis?)
A tooth is not responsive to cold or percussion and palpation is tender: (no answer with necrotic pulp and normal apex)
Necrotic pulp and chronic apical periodontitis
What is test to diagnose chronic periradicular periodontitis?
Percussion
How does a tooth covered with crown react to pulp testing?
Thermal, Cold is better
Best way to diagnose irreversible pulpitis
With a cold or thermal test
What is untrue about EPT?
It is more reliable than cold testing for necrotic teeth (false!!!)
Tooth did not respond to thermal & EPT but response to palpation and percussion?
Necrotic pulp
Most reliable way to test vitality of a tooth?
Thermal Test
Which of the following is the least important factor in referring an endodontic case to specialist?
d. Mesial inclination of a molar
a. Dilacerations
b. Calcifications
c. Inability to obtain adequate anesthesia
d. Mesial inclination of a molar
Acute perio abscesses that require drainage are usually:
Fluctuant and localized
Between the different perio and endo periapical lesions, which one has the best prognosis?
Perio that started from endo