Dental Diagnosis'

Question 1

Reversible Pulpitis - SOCRATES, Radiographic Findings, Managements

Answer 1

S - poorly localised
O
C - sharp
R
A
T - short
E - worse with cold
S

radiograph - appears usual
immediate management - temp restor, desensitising agent
long-term - permanent restoration

Question 2

Irreversible Pulpitis - SOCRATES, Radiographic Findings, Managements

Answer 2

S - poorly localised
O - spontaneous
C - throbbing
R
A
T
E - worse with hot, cold relieves
S

radiograph - caries presence, widening of PDL
immediate - advice
long-term - RCT or extraction

Question 3

Dentine Hypersensitivity - SOCRATES, Radiographic Findings, Managements

Answer 3

S
O
C - sharp
R
A
T - short
E - worse with cold, air and fluids
S

radiograph - fine
immediate - OHI, topical
long-term - monitor, restorations

Question 4

Pulpal Necrosis - SOCRATES, Radiographic Findings, Managements

Answer 4

S
O
C - discolouration
R
A
T
E
S

• usually symptomless
  radiograph - widening of PDL
  immediate - not required
  long term - RCT or extraction

Question 5

Acute Apical Periodontitis - SOCRATES, Radiographic Findings, Managements

Answer 5

S - localised
O
C
R
A
T
E - biting, tender on percussion
S

radiograph - widening of PDL
immediate - adjust occlusion, dress with calcium hydroxide
long-term - RCT or extraction

Question 6

Chronic Apical Periodontitis - SOCRATES, Radiographic Findings, Managements

Answer 6

symptom free
mild ache
localised

radiograph - periapical radiolucency
long term - RCT or extraction

Question 7

Chronic Apical Periodontitis with Acute Exacerbation - SOCRATES, Radiographic Findings, Managements

Answer 7

S - localised
O
C - dull and throbbing
R
A
T
E - tender to percuss and palpate
S

radiograph - periapical radiolucency
immediate - dress with calcium hydroxide
long term - RCT or extraction

Question 8

Periapical Abscess - SOCRATES, Radiographic Findings, Managements

Answer 8

swelling
throbbing pain
localised

radiograph - periapical radiolucency
immediate - calcium hydroxyde, incise and drain
long term - RCT or extraction

Question 9

describe the aetiology to dentine hypersensitivity - how does it come about?

Answer 9

hydrodynamic theory
alpha delta nerve fibres stimulate

Question 10

what is the hydrodynamic theory?

Answer 10

movement of fluid inside the dentinal tubules, stimulating the nerve fibres