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SU18: Endo > Endo Diagnosis > Flashcards

Flashcards in Endo Diagnosis Deck (14)
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1
Q

Patient presents with pain specifically when eating sweets and drinking cold water. The pain is non-spontaneous and the patient has a short sharp response to thermal testing. Pulpal diagnosis?

A

Reversible pulpitis - VITAL

2
Q

Patient presents with spontaneous pain often waking the patient up at night. There is a prolonged response to cold testing. Pulpal diagnosis?

A

Symptomatic Irreversible pulpitis (IRP) - VITAL

3
Q

While excavating carries you discover that the carries extends all the way to the pulp. The pulp is still pink/red, but is incapable of healing. Pulpal diagnosis?

A

Asymptomatic irreversible pulpitis (IRP)

4
Q

Radiograph shows a radiopaque lesion at the apex of the tooth. What could be a periapical diagnosis?

A

Condensing osteitis

5
Q

Patient presents with a small discharge of pus through the mucosa near the apex of her mandibular molars. She is in little to no discomfort. Periapical diagnosis?

A

Chronic apical abscess (CAA) - pulp most likely necrotic and infected

*Only diagnosis with sinus tract

6
Q

Patient presents with a large, painful swelling in the buccal mucosa near the maxillary molars. Tooth number 3 is tender to pressure and non-responsive to pulp testing. Periapical and pulpal diagnosis?

A

Acute apical abscess (AAA) - necrotic and infected pulp

7
Q

What is the major difference between a chronic and acute abscess?

A

Chronic abscess has drainage so there is less pain and swelling

8
Q

Patient presents with spontaneous pain waking her up at night in the upper right region. Upon cold testing there is a prolonged response to tooth #4. The tooth also has a painful response to percussion testing. Pulpal/PA diagnosis?

A

Symptomatic irreversible pulpitis (VITAL) and symptomatic apical periodontitis

SIP/SAP

9
Q

If a patient is diagnosed with SIP/SAP would you expect to see a radiolucency in the periapical region?

A

No. Radiolucency could be seen with necrotic pulp and SAP

10
Q

Radiograph of a tooth shows a “hanging drop” radiolucency at the apex of #5. The tooth is not painful to percussion of biting. PA diagnosis? Expected pulpal diagnosis?

A

Asymptomatic apical periodontitis (AAP)

Necrotic

11
Q

T/F: A pulpectomy involves only removing the coronal pulp.

A

False

Pulpotomy - only coronal
Pulpectomy - all pulp

12
Q

T/F: Antibiotics are always necessary for patients with necrotic pulp/abscess.

A

False

Only if systemic symptoms are present

13
Q

T/F: Pulpectomy can be performed on necrotic teeth.

A

False

Debridement is the term if the tooth is necrotic

14
Q

T/F: Antibiotics should be given for a patient with symptomatic irreversible pulpitis.

A

False