Technical Problems Flashcards
Do we place the patient on abx if there is systemic involvement?
diabetic patient- yes, place them on ABX even if they weren’t running a fever.
what is chronic apical abscess characterized by?
often lack of any noticeable symptoms and a sinus tract!
if you track a sinus tract, what size cone should you use and why?
at least a 30 so you don’t get any bending
what does condensing osteitis mean?
usually from some kind of low grade chronic reaction
If condensing osteitis is symptomatic, what should you do?
treat endodontically because this will eventually resolve this.It’s typically associated with an irreversible pulpits.
T/F
If you are dealing with an asymptomatic condensing osteitis case, you should always treat with endo
FALSE!!! Not necessary. You want to watch this tooth
When should you test the tooth?
ALWAYS test the tooth!
T/F
There is a HIGH correlation between histology and clinical symptoms?
NOT AT ALL!!!
We are merely extrapolating a diagnosis.
You cannot tell the histologic condition of the pulp by doing these testings. You need the 4 things to add up to a diagnosis, not just one item.
T/F
Percussion is ENDO SPECIFIC?
FALSE
If someone is percussion sensitive in the absence of pulpal, this will not produce symptoms.
what is the point of palpation?
localize swelling,
is it diffuse swelling, fluctuant, firm, paruli etc.
NOT itself a diagnosis.
Use palatal, lingual, buccal facial etc. See if there is a sinus tract along that
what does percussion test show?
inflammation of the PDL
Could be endo or iatrogenic. This can often be a hyper occlusion problem and mimic endo issues
percussion positive or percussion negative more indicative?
percussion positive- 90% of the time the patient can localize the tooth
T/F
Cold/EPT measures blood supply?
NO it doesn’t!!!! at best measures the presence of nerve fibers
T/F
EPT is very effective in teeth with limited fluid flow through the tubules due to dental sclerosis?
TRUE
T/F
You want the teeth to be slightly wet when conducting EPT?
NO! bone dry! can give a false positive
T/F
EPT is reliable in patients under 17
FALSE
link between hyperthyroidism and EPT?
hypercalcemia! could give unreliable results
EPT is specific and COLd is senstive? T/F?
TRUE
think of teeth “sensitive” to cold
when should you use a heat test?
if patient tells you these have pain to hot liquids
can you use a heat test for crowns/
yes
in ___ the tooth will respond to perc/biting tests regardless of where the pressure is applied
Apical periodontitis
in ____, perc/biting test will elicit pain only hone applied in a specific direction to a cusp or section of the tooth
cracked tooth or fx of a cusp
if the tooth cannot refelct light, what does this mean?
crack in the dentin.
If you try to prep and temp, this will not work
T/F
If the crack of tooth is ONLY in enamel, the tooth will not transilluminate light.
false, it still will
what arch is selective anesthesia most effective?
maxillary arch. you can sort of block out a select few teeth.
IA will numb the entire quad.
what is the last resort for endo testing?
test cavity.
no anesthesia to see if the tooth is vital.
SCARY
