Diagnosis

Question 1

Subjective and Clinical exam quote

Answer 1

Berman and Hartwell

Question 2

Examine both the suspected tooth and ______ and _______

Answer 2

Adjacent teeth and opposing jaw
Bender

Question 3

Taking NSAIDs before diagnostic testing

Answer 3

McClanahan – affects results
Fowler – no effect

Question 4

______% agreement between clinical and histological diagnosis (Ricucci)

Answer 4

84-97%

Question 5

First-line pulp sensitivity test

Answer 5

Cold testing

Question 6

Basis of cold testing

Answer 6

outward hyrdodynamic fluid flow stimulates A delta fibers
Trowbridge

Question 7

What is Endo Ice

Answer 7

tetrofluoroethane

Question 8

Overall ice testing accuracy

Answer 8

90%
Jespersen

Question 9

When to use heat test

Answer 9

When chief complaint includes heat sensitivity.

Question 10

Heat sensitivity in a previously treated tooth indicates

Answer 10

Untreated anatomy
Keir

Question 11

Basis of EPT

Answer 11

Ionic changes in dentinal fluid stimulates A delta fibers
Bender

Question 12

Basis for heat testing

Answer 12

inward hydrodynamic fluid flow stimulates A delta fibers

Question 13

When is EPT more useful

Answer 13

Calcified teeth
to rule out pulpal necrosis

Question 14

What to use during orthodontic treatment

Answer 14

thermal tests (not EPT)

Question 15

ideal placement of EPT electrode

Answer 15

Incisal edge or cusp tip

Question 16

EPT and pacemakers

Answer 16

safe to use according to Wilson

Question 17

EPT accuracy

Answer 17

75%. High rate of false positives, EPT should be a secondary measure generally

Question 18

What do pulp tests check for?

Answer 18

Sensitivity, not vitality

Question 19

True measure of vitality?

Answer 19

Blood flow
Doppler flowometry
pulse oximetry

Question 20

Assessment of the PDL

Answer 20

Percussion
Palpation
biting

Question 21

Percussion tests for

Answer 21

mechanical allodynia

Question 22

Palpation tests for

Answer 22

soft tissue swelling, bony expansion

Question 23

Periodontal exam includes

Answer 23

Probing depths
mobility
furcation invovlement

Question 24

Other tests

Answer 24

Transillumination
tooth slooth
methylene blue staining
selective anesthesia

Question 25

Most common radiograph for endodontic diagnosis

Answer 25

PA

Question 26

Radiograph to assess existing restorations, caries, periodontal health, pulp chamber anatomy

Answer 26

Bitewing

Question 27

Digital radiographs require ______% less radiation compared to traditional films

Answer 27

22%

Question 28

Digital vs traditional radiographs for diagnostic yield

Answer 28

no difference

Question 29

Diagnostic accuracy increases from _____ to ______% when using 1 PA vs 3 PAs from different angles

Answer 29

74% to 90%

Question 30

There is at least ______% magnification in 2D radiographs

Answer 30

5%

Question 31

CBCT is considered _______ compared to CT for dental purposes

Answer 31

superior

Question 32

What makes CBCT scans dimensionally accurate?

Answer 32

The cubic voxels

Question 33

Compared to CBCT, traditional radiographs miss _____% of lesions in the posterior maxilla

Answer 33

34%

Question 34

Major draw-backs with CBCT

Answer 34

radiation dose, cost, contrast resolution, beam hardening, liability risk

Question 35

Gold standard image for endo

Answer 35

Micro-CT

Question 36

CBCT imaging can change diagnoses and treatment plans _____% of the time

Answer 36

62%

Question 37

Should abide by _____ when considering obtaining CBCT

Answer 37

ALARA

Question 38

IAN is ____mm away from the second premolar apex and ______mm away from the second molar apex

Answer 38

4.7mm and 3.7mm

Question 39

Fractures usually involve

Answer 39

Mandibular second molar, then maxillary premolars and molars

Question 40

Endodontic lesions that drain through the periodontal pocket

Answer 40

Perio-endo lesions.

Question 41

Perio-endo lesions are a form of

Answer 41

CAA, sinus tract through the PDL

Question 42

Periodontal disease unlikely to cause endodontic disease unless

Answer 42

The periodontal disease reaches the apex Langeland

Question 43

Chronic pulpal inflammation usually following carious or traumatic exposure in a young patient

Answer 43

Pulp polyp