tooth pain and sensitivity

Question 1

ten pertinent questions to ask pt in pain

Answer 1

1. when
2. was there an incident
3. sudden or gradual
4. describe pain
5. hot/cold
6. when does it bother you
7. did you get treatment recently
8. spontaneous?
9. sweets?
10. what sets it off?

Question 2

dentin hypersensitivity pain characteristic

Answer 2

short, sharp pain when blasted with air

Question 3

gluma MOA for hypersensitivity

Answer 3

protein precipitation/tubule occlusion

Question 4

glass ionomer MOA for hypersensitivity

Answer 4

tubule occlusion

Question 5

sensodyne MOA for hypersensitivity

Answer 5

lowers nerve sensitivity

Question 6

NaF MOA for hypersensitivity

Answer 6

tubule occlusion

Question 7

potassium containing products (Relief, discus dental) MOA for hypersensitivity

Answer 7

lowers nerve sensitivity

Question 8

hallmark of cracked tooth syndrome

Answer 8

sharp and sudden pain upon the release of biting forces

Question 9

methods for detecting cracked tooth syndrome

Answer 9

tooth sleuth, transillumination

Question 10

t/f: it is easier to manage post operative sensitivity than to prevent it

Answer 10

false, easier to prevent

Question 11

how to prevent post op sensitivity

Answer 11

use a lot of water
light touch with sharp burs
gluma as cavity liner

Question 12

options for treating post op sensitivity

Answer 12

make sure its not because the occlusion is off

take out filling, put in sedative, see how it does