Endo - Diagnostics

Question 1

what are the general rules regarding referred pain (3)

Answer 1

radiates to the ipsilateral side (same)

anterior teeth rarely have referred pain to other teeth

posterior teeth refer pain to the opposite arch and periauricaular area - esp mandibular molars

Question 2

what types of fibres cause referred pain?

Answer 2

C fibres

Question 3

how do you construct a diagnosis?

Answer 3

Pulp diagnosis
Apical diagnosis

Describe all the relevant info from crown to apex.

Question 4

what is the pulpal diagnosis for short, sharp discomfort when a stimulus is applied but only lasts a few seconds and has no significant changes on a radiograph at periapical regions?

Answer 4

reversible pulpits

Question 5

what is the PULPAL diagnosis for sharp pain when hot stimuli is applied that lasts for >30 seconds and can also have spontaneou, referred or postural pain?
Pain not alleviated by over the counter medication
Recession also seen on a radiograph.

Answer 5

Symptomatic Irreversible Pulpitis

Question 6

what are causes of Symptomatic Irreversible Pulpitis? (3)

Answer 6

deep caries
large restorations
pulpal exposure after fracture/trauma

Question 7

what PULPAL diagnosis would be asymptomatic and unresponsive to sensibility testing ?

Answer 7

necrotic pulp

Question 8

how do we manage reversible pulpits?

Answer 8

will resolve when the cause is eliminated i.e. caries

Question 9

how do we manage irreversible pulpits?

Answer 9

Vital inflamed pulp cannot heal = root canal treatment required or extraction.

Question 10

how do we manage pulp necrosis?

Answer 10

Death of the dental pulp = root canal treatment or extraction required.

Question 11

what is the apical diagnosis for a tooth which has a Painful response to biting, percussion and palpitation.
possible radiolucency on radiograph.

Answer 11

Symptomatic Apical Periodontitis:

Question 12

what is the APICAL diagnosis for a tooth which is non-vital and has signs of radiolucency/osseous destruction on a radiograph and a possible sinus tract?

Answer 12

Chronic Apical Abscesses - if no acute symptoms

Question 13

what is the APICAL diagnosis for a tooth with spontaneous pain, Extreme tenderness, Pus formation, Swelling of associated tissues paired with systemic symptoms? (fever, malaise)

Answer 13

Acute Apical Abscess

Question 14

what is the danger associated with Acute Apical Abscesses?

Answer 14

swelling of the eye and the airways

Question 15

what is the apical diagnosis for a tooth which has PDL destruction/changes or radiolucency and no clinical symptoms?

Answer 15

asymptomatic apical periodontitis