Test #2 Diagnosis Flashcards
(42 cards)
What is the key to effective treatment?
-Accurate diagnosis
What is the key to accurate diagnosis?
-Understanding of the pathological processes occuring in affected tissues
What are the 5 steps used for diagnosis?
- Chief complaint
- Medical and dental history
- Oral exam and tests
- Correlate findings to reach differential diagnosis
- Formulate definitive diagnosis and treatment plan
Which of the 5 steps in diagnosis is subjective?
-Medical and dental history
Which of the 5 steps in diagnosis is objective?
-Oral exams and tests
What are subjective tests?
- Localization
- Commencement
- Intensity
- Provocation and relief of symptoms
- Duration
- Previous RCT
What are cardiovascular conditions that warrant modification of dental care?
- Endocarditis
- Pathologic heart murmurs
- Hypertension
- Angina
- MI
- Arrhythmias
- CHF
What are pulmonary conditions that warrant modification of dental care?
- Obstructive pulmonary disease
- Asthma
- TB
What are common complaints with dental problems?
- Pain
- Swelling
- Trauma
- Tooth discoloration
- Bad Taste/Breath
What do you want to know in the dental history of a pt?
- Localization
- Commencement
- Intensity
- Provocation and Relief
- Duration
What is reversible pulpitis?
-Stimulation is uncomfortable but reverses quickly when stimulation is removed
What are the classifications of pulpal disease?
- Reversible pulpitis
- Irreversible pulpitis
- Pulpal necrosis
- Previously initiated pulpal therapy
- Normal
What can cause reversible pulpitis?
- Caries
- Exposed dentin (most)
- Recent dental treatment
- Defective restorations
- Trauma
T/F RCT is generally needed for reversible pulpitis
False
-Generally not needed
What cause dentin sensitivity?
-Dentin tubule fluid movement
What direction does dehydration cause the fluid to move in the dentinal tubule?
-Coronal
What direction does heat cause the fluid to move in the dentinal tubules?
-Apical
What direction does cold cause the fluid to move in the dentinal tubules?
-Coronal
What directions does hyper-osmotic solutions cause the the fluid to move in the dentinal tubules?
-Coronal
What is irreversible pulpitis?
- If Symptomatic means the pain is intermittent or spontaneous
- Pain stimulations is heightened and prolonged
- If Asymptomatic means the caries possibly into pulp space (best time to treat)
Do you see radiographic changes in irreversible pulpitis?
-Minimal or no radiographic changes
T/F with irreversible pulpitis the pulp will eventually become necrotic
True
Is RCT therapy needed for irreversible pulpitis?
Yes
What is the only classification describing histological status of pulp or lack there of?
-Pulpal necrosis
