Painfull swelling of the tissue of the head and face resulting from spread of purulent exudate draining tract called parulus or fistula

Final Exam Part 2 Flashcards by Jess Williams

What are the causes of pulpitis?

chemicals from filling materials
depth of tooth preparation by a dentist
Cracks in the crown or root
Caries
Iatrogenic cause
Trauma
pulp exposure
Periodontal pocket

How well did you know this?

Not at all

Perfectly

What is reversible pulpitis?

Asympotmatic unless stimualated
Sharp intense pain
Temperature changes response
Treatment protection from further thermal stimulation

How well did you know this?

Not at all

Perfectly

What is irreversible pulpitis?

Spontaneous
pain less intense: but longer
Worsens when laying down
Treatment RCT or extraction

How well did you know this?

Not at all

Perfectly

What is acute vs chronic pulpitis?

Acute is rapid bacterial invasion (mostly in kids)
Chronic- low grade irritant, dentin acts as a barrier

How well did you know this?

Not at all

Perfectly

What is pulpal necrosis?

Pulp tissue no longer living: Untreated pulpitis
Asymptomatic
pain associated with exudate entering PDL

How well did you know this?

Not at all

Perfectly

What is a periapical lesion?

formation depends on virulence of bacteria, sclerosis of dental tubules, host immune response
When acute pulpitis extends into adajacent tissue

How well did you know this?

Not at all

Perfectly

What are common lesions to follow pulpitis?

Periapical granuloma
Periapical abscess
ostemyelitis
Cellulitis

How well did you know this?

Not at all

Perfectly

A 45-year-old patient presents to the dental clinic complaining of persistent, localized pain on tooth #31 for the past week. The patient reports that the pain is exacerbated when biting down and is accompanied by occasional throbbing. Endo ice test reveals no response. The percussion test elicits sharp pain, and palpation of the buccal and lingual gingiva reveals tenderness. The dentist gathers information shown on the radiograph and clinical exam and provides two diagnoses: The first is pulpal necrosis. What is the most likely the second diagnosis?

Periapical abscess

How well did you know this?

Not at all

Perfectly

What is osteomyelitis?

Inflammatroy process within trabecular bone
Most commonly caused by direct extension of an untreated periapical abscess

How well did you know this?

Not at all

Perfectly

Descript the lesion within the image

Osteomyelitis

How well did you know this?

Not at all

Perfectly

What is cellulitis?

Painfull swelling of the tissue of the head and face resulting from spread of purulent exudate
draining tract called parulus or fistula

How well did you know this?

Not at all

Perfectly

Describe the photo

Chellulitis

How well did you know this?

Not at all

Perfectly

No active caries found on the patient. What is the most appropriate consideration?

Internal resorption

How well did you know this?

Not at all

Perfectly

What is this that resulted from pressue from atumor and excessive occlusiom?

External resorption

How well did you know this?

Not at all

Perfectly

A patient comes in for a periodic exam. Patient claims to not have any significant complaints, but she tells you about an occasional ache on the lower left side of her mouth. Upon clinical examination, the tooth #19 exhibited tenderness to percussion and palpation. A periodontal probe revealed probing depths of 8 mm on the mesiolingual (ML) region, accompanied by bleeding upon probing. Radiographic examination revealed a J-shaped radiolucency around the mesial root. What is the most likely diagnosis?

Vertical root fracture

How well did you know this?

Not at all

Perfectly

Inflammation of the mucosa around a partially erupted tooth with a tissue flap named operculum?

Pericoronitis

A 28-year-old patient returns to the dental clinic three days after the extraction of the lower right molar (tooth #30). The patient complains of increasing, throbbing pain localized to the extraction site. On examination, there is no evidence of swelling. However, the patient reports an unpleasant taste and bad odor emanating from the extraction site. The pain is not responding to over-the-counter pain medications.

What is the most likely diagnosis for this patient?

alveolar osteitis

What are some abnormalities in the number of the teeth?

anodontia- lack of
Hypodontia- lack of one or more
Supernumery- extra teeth

Describe this tooth abnormaility

Mesioden

What is gemination?

one tooth attempts to divide into 2 teeth

What is fusion of the teeth?

Union of two teeth

What is a fusion in which a teeth are united by cementum only?

Concrescence

An abnormal curve or angle in the root of a tooth is called what?

Dilaceration

A patient comes in and their teeth is looking like the picture before what is the most correct diagnosis?

Enamel hypoplasia

What type of hypoplasia is caused by congential syphillis?

amelogenesis imperfecta

A 23-year-old male patient named John comes in for a new patient exam. He is not happy with his teeth color and wishes to have teeth whitening. The panoramic image looked odd to you. Only partial panoramic image was acquired because you mounted the image incorrectly on Dexis. What is the most appropriate consideration for this patient.

Dentinogenesis Imperfecta

A lesion that forms around the crown of an unerupted tooth. Only type of treatment is to remove cyst and tooth.

dentigerous or follicular cyst

A 7-year-old patient presents to your dental hygiene clinic for a routine examination. During the oral assessment, you notice a **small, bluish-purple swelling** in the patient's mouth. The patient is not experiencing any pain or discomfort, and the primary dentition in the surrounding area appears to be in good condition. The radiograph shows no significant findings. You see mixed dentition, including **unerupted tooth ** #8. Propose the most likely diagnosis and a treatment

Eruption Cyst- No treatment necessary

A 25-year-old **male **presents for a limited exam. The patient's medical history includes skin cancer and diabetes. The patient complaints of swelling and pain in the left **mandibular region**. The patient reports progressive tooth movement and resorption accompanied by **occasional tingling and numbness in the lower lip**. On examination, the dental hygienist observes facial asymmetry, and palpation reveals tenderness and swelling in the mandibular area. Radiographically, a well-defined unilocular radiolucency is evident. What is the most likely diagnosis for this patient?

Odontogenic Keratocyst OKC

During the extraoral and intraoral assessment, you notice no significant abnormalities in her medical history or current health status. However, upon palpation, you identify a small, asymptomatic swelling in the midline of the anterior palate.

Nasopalatine Cyst

Median Palatine Cyst

A teratoma is a dermoid cyst that may contain teeth, bone, muscles, and nerve tissue in the wall of the lesion.

True

During IO/EO exam, you palpate a moveable mass on the neck and notice a nodule on the tongue what is it?

Lymphoepithelial cyst

During a routine dental examination of a 8-year-old child, you notice a painless, midline swelling on the neck. The child does not complain of pain or discomfort, and there are no signs of respiratory difficulty. What could be the potential cause of this swelling?

Thyroglossal Tract Cyst

Mr. Johnson, a 45-year-old male, presents to the dental hygiene clinic with a chief complaint of persistent swelling and tenderness in the right posterior mandibular region. On examination, you observe a non-tender, fluctuant swelling with intact mucosa in the area of tooth #19, which was extracted six months ago due to severe decay. The patient reports that he experienced initial relief after the extraction, but the swelling has gradually developed over the past few weeks. What is the most likely diagnosis of the patient's condition?

Residual Cyst