Diagnostic Terminology Flashcards
What is a normal pulp?
A clinical diagnostic category in which the pulp is symptom-free and normally responsive to pulp testing
What is reversible pulpitis?
A clinical diagnosis based on the subjective and objective findings indicating that the inflammation should resolve and the pulp return to normal
Discomfort is experienced when a stimulus such as cold or sweet is applied and goes away in under 5 seconds.
Not a spontaneous pain
What is symptomatic irreversible pulpitis?
A clinical diagnosis based on subjective and objective findings indicating that the vital inflamed pulp is incapable of healing
RCT is indicated
Sharp pain upon thermal stimulus, lingering pain (30 seconds or longer after stimulus is removed), spontaneous pain, referred pain
What is asymptomatic irreversible pulpitis?
A clinical diagnosis based on subjective and objective findings indicating that the vital inflamed pulp is incapable of healing.
No clinical symptoms but inflammation produced by caries, caries excavation, trauma
What is pulp necrosis?
A clinical diagnostic category indicating death of the dental pulp. The pulp is usually non-responsive to pulp testing
What is normal apical tissues?
Teeth with normal periradicular tissues that are not sensitive to percussion or palpation testing. The lamina dura surrounding the root is intact, and the PDL space is uniform
What is symptomatic apical periodontitis?
Inflammation, usually of the apical periodontium, producing clinical symptoms including a painful response to biting and/or percussion or palpation
It may or may not be associated with an apical radiolucent area
What is asymptomatic apical periodontitis?
Inflammation and destruction of apical periodontium that is of pulpal origin, appears as an apical radiolucent area, and doesn’t produce clinical symptoms
What is acute apical abscess?
An inflammatory reaction to pulpal infection and necrosis characterised by rapid onset, spontaneous pain, tenderness of the tooth to pressure, pus formation and swelling of associated tissues
Patient often experiences malaise, fever and lymphadenopathy
What is a chronic apical abscess?
An inflammatory reaction to pulpal infection and necrosis characterised by gradual onset, little or not discomfort, and the intermittent discharge of pus through an associated sinus tract
What is condensing osteitis?
Diffuse radiopaque lesion representing a localised bony reaction to low-grade inflammatory stimulus Usually seen at apex of the tooth
What are the typical aetiologies of reversible pulpitis?
Exposed dentine (dentine hypersensitivity)
Caries
Deep restorations
