Diagnosis Flashcards
(33 cards)
Reversible pulpitis... potential to heal? Response level to stimuli? Response lingers? Spontaneous? Pain specific or vague? What kinds of fibers?
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
Reversible Pulpitis treatment?
remove source of irritation such as caries/leaky restoration
Irreversible pulpitis... potential to heal? Response level to stimuli? Response lingers? Spontaneous? Pain specific or vague? What kinds of fibers?
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
Irreversible Pulpitis causes?
caries, trauma, pulp exposure
Irreversible Pulpitis treatment?
RCT or extraction
Symptomatic Apical Periodontitis…
response to percussion?
Apical radiolucency?
Pain, and maybe
Asymptomatic Apical Periodontitis
Response to percussion?
Apical Radiolucency?
No, No
Acute Apical Abcess symptoms (3)?
spontaneous pain
pus
swelling
Chronic Apical Abcess symptoms (2)
discomfort
pus discharge through sinus tract
Five things you ask about when patient has pain?
- location
- origin
- reproduction
- character
- timing
Reversible pulpitis can be from?
recent restoration
perio treatment
Reversible pulpitis clinical tests?
sensitive to cold, but percussion/palpation WNL
How does lying down affect puplitis?
Irreversible pulpitis - arterioles
Clinical Test for irreversible pulpitis?
positive cold, heat,
NON responsive to cold indicates?
pulpal necrosis
Cold test false-negative means?
calcified canals
Tetrafluoroethane is used for?
cold tests
Heat test bad bc?
not reproducible, not predictable outcomes
electric pulp testing measures?
rough indicator of presence of vital nerve tissue
Electric pulp testing - no response means? Responses use what fibers?
No response - necrosis or calcified pulp chamber
A-delta
If you get positive EPT, do what bc of reliability
flip a coin lol
What tests used for periapical testing?
percussion and palpation
Transillumination used for?
fracture detection
Normal Apical Periodontium Chief Complaint Symptomatic? Clinical Exam? Rdaiographic Appearance? Cold/EPT testing? Percussion/Palpation? Pulpal Diagnosis?
all normal