Lec 5

Question 1

objective of clinical testing?

Answer 1

reproduce CC and find etiology for Pt pathosis

Question 2

perio exam must accompany every endodontic appt?

Answer 2

true

Question 3

how many probings are needed on each tooth?

Answer 3

6
3 buccal
3 lingual

Question 4

what are you looking for on palpation?

Answer 4

tenderness
swelling
unusual texture, color
DST

Question 5

DST is always associated with?

Answer 5

CAA
pulp is necrotic
-not much pain

Question 6

if you find a DST, what must you do

Answer 6

trace it w/ 25/30 gutta percha and take radiograph

Question 7

for all clinical tests, never start where?

Answer 7

never start on suspect tooth, must establish control/baseline
calibrate Pt

Question 8

1 reason for non-odontal pain

Answer 8

myofacial pain
palpate facial muscles to find area of pain

Question 9

how many radiographs required for diagnosis

Answer 9

3
PA, shift shot (20) PA, BW

Question 10

pulp sensibility tests include?

Answer 10

thermal and electrical tests
they asses pulp sensory response

Question 11

cold test: lingering for more than 10-15 seconds means

Answer 11

could indicate pathology of pulp
-normal is 3-8 seconds lingering

Question 12

sensitivity to cold that lingers signifies?

Answer 12

early pulpal inflammation
early SIP

Question 13

sensitivity to hot signifies?

Answer 13

late pulpal inflammation
late SIP

Question 14

no response to cold/hot could mean?

Answer 14

necrotic pulp, but dont assume w/o more tests
No response often occurs on:
-young permanent teeth
-teeth right after trauma
-older pt

Question 15

older Pts may show NR on many teeth, what should you do?

Answer 15

electric pulp test
-any time thermal testing is not clear do EPT

Question 16

for EPT, tooth paste is used as a?

Answer 16

conductor

Question 17

if tooth has no caries, trauma or restorations but Pt has symptoms upon biting

Answer 17

suspect axial crack
take radiographs, tooth slooth, probing, transillumination

Question 18

transillumination: fractured tooth will not allow light to pass thru

Answer 18

true
normal tooth lights up fully (light bulb)

Question 19

if you cannot dx then?

Answer 19

cannot do any tx

Question 20

heat testing is done when?

Answer 20

only when Pt reports heat sensitivity as CC
normal teeth are NOT sensitive to hot