emergency

Question 1

Periapical tests

Answer 1

Percussion

Palpitation

Question 2

Pulpal tests

Answer 2

Endo ice test/ thermal testing/ electric testing

Question 3

Dental caries, non-lingering sensitivity to cold and sweets

Answer 3

Reversible Pulpitis

Question 4

Reversible Pulpitis tx

Answer 4

Complete removal of caries and permanent restoration
or
Incomplete caries removal, placement of a sedative restoration, appoint for a screening appointment

Question 5

Lingering pain to cold (subjective)

Pain to heat, relieved by cold Spontaneous pain

Answer 5

Symptomatic Irreversible Pulpitis

Question 6

Symptomatic Irreversible Pulpitis tx

Answer 6

Pulpotomy (molars, premolars) No endodontic instruments needed, place dry eugenol pellet over the vital pulp stump, temporary restoration. Appoint for screening appointment followed by endodontic treatment
Pulpectomy (anterior teeth) Obturate or calcium hydroxide.
Rx- Ibuprofen 600mg q6h for the first 36 hrs prn pain following

Question 7

Caries into the pulp, but no pain. The tooth still feels temperature, but there is no real pain associated with the hot or cold stimulus

Answer 7

Asymptomatic irreversible pulpitis

Question 8

Asymptomatic irreversible pulpitis tx

Answer 8

Pulpotomy/ Pulpectomy

followed by RCT and restorative (Appoint for screening appointment followed by endodontic treatment)

Question 9

Pain, swelling, tooth tests non-vital

Answer 9

Acute Apical Abscess

Question 10

Acute Apical Abscess tx

Answer 10

Pulpectomy gross debridement, copious irrigation with sodium hypochlorite, calcium hydroxide, and antibiotic depending on systemic signs of infection. Appoint for comp care followed by endodontic appointment
Rx- Ibuprofen 600mg q6h for the first 36 hrs prn pain following, Antibiotic depending on systemic signs of infection

Question 11

Pain on percussion

Answer 11

Acute/symptomatic Apical Periodontitis

Question 12

Acute Apical Periodontitis tx

Answer 12

Reduction of occlusion, anti-inflammatory medications- Ibuprofen

Question 13

Draining sinus tract, less pain, no swelling

Answer 13

Chronic Apical Abscess

Question 14

Chronic Apical Abscess tx

Answer 14

Warm salt-water rinse, appoint for extraction or comp. care screening appointment
No antibiotic necessary

Question 15

No pain, radiographic presentation of apical radiolucency

Answer 15

Asymptomatic Apical Periodontitis

Question 16

Asymptomatic Apical Periodontitis tx

Answer 16

No treatment needed, appoint for a screening appointment