Diagnosis Flashcards

(33 cards)

1
Q
Reversible pulpitis...
potential to heal?
Response level to stimuli?
Response lingers?
Spontaneous?
Pain specific or vague?
What kinds of fibers?
A
potential to heal? Yea
Response level to stimuli? Exaggerated
Response lingers? NO
Spontaneous? NO
Pain specific or vague? Specific
What kinds of fibers? A-delta
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2
Q

Reversible Pulpitis treatment?

A

remove source of irritation such as caries/leaky restoration

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3
Q
Irreversible pulpitis...
potential to heal?
Response level to stimuli?
Response lingers?
Spontaneous?
Pain specific or vague?
What kinds of fibers?
A
potential to heal? No
Response level to stimuli? RADIATING pain
Response lingers? YES
Spontaneous? YES
Pain specific or vague? vague
What kinds of fibers? C-fiber
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4
Q

Irreversible Pulpitis causes?

A

caries, trauma, pulp exposure

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5
Q

Irreversible Pulpitis treatment?

A

RCT or extraction

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6
Q

Symptomatic Apical Periodontitis…
response to percussion?
Apical radiolucency?

A

Pain, and maybe

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7
Q

Asymptomatic Apical Periodontitis
Response to percussion?
Apical Radiolucency?

A

No, No

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8
Q

Acute Apical Abcess symptoms (3)?

A

spontaneous pain
pus
swelling

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9
Q

Chronic Apical Abcess symptoms (2)

A

discomfort

pus discharge through sinus tract

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10
Q

Five things you ask about when patient has pain?

A
  1. location
  2. origin
  3. reproduction
  4. character
  5. timing
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11
Q

Reversible pulpitis can be from?

A

recent restoration

perio treatment

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12
Q

Reversible pulpitis clinical tests?

A

sensitive to cold, but percussion/palpation WNL

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13
Q

How does lying down affect puplitis?

A

Irreversible pulpitis - arterioles

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14
Q

Clinical Test for irreversible pulpitis?

A

positive cold, heat,

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15
Q

NON responsive to cold indicates?

A

pulpal necrosis

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16
Q

Cold test false-negative means?

A

calcified canals

17
Q

Tetrafluoroethane is used for?

18
Q

Heat test bad bc?

A

not reproducible, not predictable outcomes

19
Q

electric pulp testing measures?

A

rough indicator of presence of vital nerve tissue

20
Q

Electric pulp testing - no response means? Responses use what fibers?

A

No response - necrosis or calcified pulp chamber

A-delta

21
Q

If you get positive EPT, do what bc of reliability

A

flip a coin lol

22
Q

What tests used for periapical testing?

A

percussion and palpation

23
Q

Transillumination used for?

A

fracture detection

24
Q
Normal Apical Periodontium
Chief Complaint
Symptomatic?
Clinical Exam?
Rdaiographic Appearance?
Cold/EPT testing?
Percussion/Palpation?
Pulpal Diagnosis?
25
``` Symptomatic Apical Periodontitis Chief Complaint Symptomatic? Clinical Exam? Rdaiographic Appearance? Cold/EPT testing? Percussion/Palpation? Pulpal Diagnosis? Treatment? ```
``` Chief Complaint - tooth hurts to touch Symptomatic when touching/moving Clinical Exam? extensive restoration/caries Rdaiographic Appearance? widened PDL Cold/EPT testing? no response Percussion/Palpation? painful Pulpal Diagnosis? usually necrotic or irreversible Treatment - RCT ```
26
``` Asymptomatic APical Periodontitis? Chief Complaint Symptomatic? Clinical Exam? Rdaiographic Appearance? Cold/EPT testing? Percussion/Palpation? Pulpal Diagnosis? Treat? ```
``` Chief Complaint - none Symptomatic? No Clinical Exam? large caries/rest/trauma Rdaiographic Appearance? PA radiolucency Cold/EPT testing? No Percussion/Palpation? WNL Pulpal Diagnosis? Necrotic Treat with RCT ```
27
``` Acute Apical Abcess Chief Complaint Symptomatic? Clinical Exam? Rdaiographic Appearance? Cold/EPT testing? Percussion/Palpation? Pulpal Diagnosis? ```
``` Chief Complaint - tooth hurts and swollen Symptomatic? when touching/moving Clinical Exam? Swelling, lymphadenopathy Rdaiographic Appearance? PA radiolucency Cold/EPT testing? No Percussion/Palpation? Painful Pulpal Diagnosis? Necrotic ```
28
What does a phoenix abcess arise form?
Asymptomatic Apical Periodontitus
29
``` Chronic Apical Abcess Chief Complaint Symptomatic? Clinical Exam? Rdaiographic Appearance? Cold/EPT testing? Percussion/Palpation? Pulpal Diagnosis? ```
``` Chief Complaint? bump on gum Symptomatic? no Clinical Exam? sinus tract Rdaiographic Appearance? PA radiolucency Cold/EPT testing? No Percussion/Palpation? WNL Pulpal Diagnosis? Necrotic ```
30
What is the defining clinical feature of condensing osteitis?
radioPAcity
31
Defining characteristic of Periapical CementoOsseus Dysplasia?
radiological evidence of it lol wtf everything else normal
32
Key characteristics of cracked teeth?
Long history of uncertain diagnosis Pain is erratic Pt unable to describe pain clearly
33
Most common source of extra oral pain?
Maxillary Sinus pain