ENDO terminology Flashcards
(41 cards)
When should you consider a non odontogenic source?
if no identifiable cause, history of clinical findings are inconsistent with odontogenic pain
spontaneous pain with a hx of previous pain in the same tooth usually indicate what?
presence of severe and irreversible pulpitis
If patient has been “delaying the treatment for a few year”- typically NOT an endo issue???
T/F
Odontogenic pain often crosses the midline?
FALSE!!! very rarely
why might you wait to localize the tooth?
when the inflammation goes to the PDL, usually the patient will feel this upon percussion
30% of patients in the beginning stages cannot localize pain
T/F?
true
If you cannot localize the pain, and have been following the patient for a month, what do yo think the cause of??
not endo
These issues can be less than 10%
Periodical disease of endodontic origin is mediated by ____
bacteria
what are the two components of an endo diagnosis?
pulpal and periapical
is condensing osteotis periodical or pulpal?
periapical
give an example of an endo diagnosis?
8 pulp necrosis with asymptomatic apical periodontist
REMEMBER, it needs the two components
How long does a “normal” cold/heat response last?
3-10 seconds is “normal” but it also depends on what is NORMAL to the patient
Find a control somewhere in the mouth. Compare the tooth in question to the control
Describe reversible pulpitis?
this means that subjective and objective findings indicate that inflammation is present, but should resolve WITHOUT a root canal.
You keep the tooth alive in this scenario, but there is something you need to work on
what might cause reversible pulpitis?
hx of a recent restoration (usually an amalgam, composite, or crown prep) within several days to a few weeks
- Often a first time complaint!
- symptoms resolve quickly after the stimulus is removed
- NO RADIOGRAPHIC CHANGES YET
If patient just had a big filling a few days ago- tell patient to wait about 2 weeks because that’s normal and expected to be heat sensitive or sensitive in general Test the same day though to establish a baseline, wait two weeks, and then see if anything has changed.
Describe irreversible pulpitis:
Symptomatic and asymptomatic.
The reality is that the pulp is INFLAMMED, but cannot be fixed with conservative therapy.
Symptomatic usually comes with LINGERING thermal pain, spontaneous, and referred pain. Does it start on it’s own? How long does it last?
Asymptomatic- there are no clinical SYMPTOMS, but inflammation typically produced by caries, excavation, or trauma
In an adult, a carious pulp exposure likely leads to what?
endo treatment in the very near future
Why is irreversible pulpits difficult for students to figure out?
it’s difficult to localize!!!!! often presents with NO symptoms, or a LARGE range of symptoms
T/F
Irreversible pulpitis will always respond to EPT/COLD?
TRUE!!!
symptomatic will have an ABNORMAL response, and ASYMPTOMATIC will have NORMAL!!!!
radiograph generally reveals widened PDL, or it can be WNL
T/F
EPT and COLD test blood supply?
false!!! just the nerve
when you are doing an EPT test, what are you looking for???
The numbers DON’T MEAN ANYTHING!!! Basically- if it doesn’t react AT ALL, then that’s NO BUENO. EPT is like a pregnancy test- NO DEGREES!!!
The numbers are just the strength of the current
If you have a lot of sclerotic dentin or tertiary dentin, how does this effect EPT?
yes, still works
what is the more accurate test? EPT or COLD test?
cold…
why might you have a false negative with cold test?
calcified canal.
Anytime a tooth doesn’t respond to the cold test, you have to do a follow up….
If your tooth responds poorly to pain, with lingering pain with cold test, do you need to EPT test?
no, because you know it’s already inflamed and compromised
If patient has a crown, and didn’t respond to cold, what might you do?
percussion
