RQ Flashcards

1
Q

Which teeth do you preform cold test on?

A

Tooth, Neighbor tooth, Contralateral tooth

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2
Q

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?

A

Asymptomatic chronic apical periodontitis

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3
Q

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?

A

Refer to an endodontist

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4
Q

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)

A

RCT and Crown

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5
Q

Patient with tooth that has sensitivity that lingers with thermal test, sinus tract, and positive to percussion, what does the patient have?

A

Irreversible pulpitis with acute periapical abscess

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6
Q

Prolonged, unstimulated night pain suggests which of the following conditions of the pulp?

A

Pulp necrosis

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7
Q

A Chronic periradicular abscess indicates:

A

Necrotic pulp

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8
Q

What does percussion test?

A

Presence of inflammation in PDL or not

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9
Q

What does palpation test?

A

Spread of inflammation to periodontium from PDL or not

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10
Q

What does EPT (Electronic Pulp Test) test?

A

Responsiveness (does not test vitality (i.e. necrotic, reversible pulpitis, etc.)

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11
Q

EPT (Electronic Pulp Test) does not indicate?

A

Health of the pulp

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12
Q

How do you differentiate between an endodontic versus periodontic lesion?

A

EPT

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13
Q

What does thermal (hot or cold) test? Hot = irreversible, Cold = reversible/irreversible

A

Pulp Vitality

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14
Q

What is the differential diagnosis of a periodontal abscess & periradicular abscess?

A

Vitality

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15
Q

Which statement is incorrect?

A

Do EPT for traumatic tooth

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16
Q

If you have pain, what would be the hardest to anesthetize?

A

Irreversible pulpitis and mandibular

17
Q

When heat is applied to the tooth, lingering pain for several minutes indicates

A

Irreversible pulpitis

18
Q

What is diagnosis for lingering pain to cold and sensitivity to percussion?

A

Irreversible pulpitis & acute periapical abscess (acute periapical periodontitis?)

19
Q

A tooth is not responsive to cold or percussion and palpation is tender: (no answer with necrotic pulp and normal apex)

A

Necrotic pulp and chronic apical periodontitis

20
Q

What is test to diagnose chronic periradicular periodontitis?

A

Percussion

21
Q

How does a tooth covered with crown react to pulp testing?

A

Thermal, Cold is better

22
Q

Best way to diagnose irreversible pulpitis

A

With a cold or thermal test

23
Q

What is untrue about EPT?

A

It is more reliable than cold testing for necrotic teeth (false!!!)

24
Q

Tooth did not respond to thermal & EPT but response to palpation and percussion?

A

Necrotic pulp

25
Q

Most reliable way to test vitality of a tooth?

A

Thermal Test

26
Q

Which of the following is the least important factor in referring an endodontic case to specialist?

A

d. Mesial inclination of a molar

a. Dilacerations
b. Calcifications
c. Inability to obtain adequate anesthesia
d. Mesial inclination of a molar

27
Q

Acute perio abscesses that require drainage are usually:

A

Fluctuant and localized

28
Q

Between the different perio and endo periapical lesions, which one has the best prognosis?

A

Perio that started from endo