Endo Exam I (Summer/fall 2008) Oucod

Front 1

diagnostic differentiation for reversible pulpitis

Back 1

1. hx of pulpal sensitivity 2. pain is stimulated only, sharp or hyper-responsive (resolves when stimulus is removed, w/o lingering or aching 3. palliative or restorative tx resolves complaint

Front 2

diagnostic differentiation for irreversible pulpitis

Back 2

1. hx or experience of atypical pulpal pain 2. thermally (hot or cold) affected 3. vital pulp coronally may not be seen upon access

Front 3

results for thermal stimulation in irreversible pulpitis

Back 3

instant, hyper, delayed - heat complaint suggests a more necrotic histology

Front 4

diagnostic differentiation for pulp necrosis

Back 4

1. hx of atypical pulpal pain not unusual 2. no present experience of atypical pulpal pain 3. non-responsive to all pulp testing 4. should be consistent carious, restorative, or traumatic explanation for pathosis

Front 5

T/F: PA lesion or symptoms are definitive to diagnose pulp necrosis

Back 5

F: only clues

Front 6

a pre-existing pulpal condition (if known or observed) that pre-determines the need for RCT

Back 6

previous tx (diagnosis)

Front 7

an existing restorative condition that determines RCT is needed, often to place a post and core

Back 7

elective devitalization (reason)

Front 8

what is the diagnosis if pt has hx of only stimulated sensitivity, no hx of spontaneous pain, aching after stimulation, lingering, and if pulp tests vital normal w/ no PA lesion

Back 8

reversible pulpitis

Front 9

what is diagnosis if pt has spontaneous pain, has thermally induced pain w/ throbbing, lingering and diffuse pain, w/ normal or apical periodontitis periapical region

Back 9

irreversible pulpitis

Front 10

what is the diagnosis if pt doesn't present w/ pulpal pain, doesn't respond to pulp testing (thermal or EPT), w/ an identifiable etiology and any periapical diagnosis

Back 10

pulp necrosis

Front 11

what is the diagnosis if there is previous partial or total tx of RC space with nothing to test in the pulp space?

Back 11

previous tx (pulpless)

Front 12

examples of previous tx (pulpless)

Back 12

1. known pulp exposure or cap 2. pulpotomy 3. pulpectomy or RCT

Front 13

what is the diagnosis if pt has percussion, biting, or apical palpation tenderness, radiographic periapical/periradicular lesion, and variable mild to moderate symptoms?

Back 13

apical periodontitis

Front 14

what is diagnosis if radiographic lesion is present, sinus tract traced to its intra-osseous origin w/ drainage?

Back 14

suppurative apical periodontitis

Front 15

what is required to be called abscess?

Back 15

purulence and clinical symptoms

Front 16

what is diagnosis if minor/no radiographic change, severe percussion/apical palpation tenderness, purulent drainage upon access is possible

Back 16

periapical abscess

Front 17

T/F: intra/extra oral swelling is probable in periapical abscess

Back 17

T

Front 18

what is diagnosis if radiographic lesion that is an exacerbation of a chronic lesion, severe percussion tenderness, purulent drainage, swelling

Back 18

phoenix abscess

Front 19

what is diagnosis if percussion and biting tenderness, radiographically intact or slightly widened PDL space and irreversible pulpitis

Back 19

acute apical periodontitis

Front 20

diagnosis?: none or slight percussion sensitivity, no swelling, periapical RL described by size and borders in a pulpless tooth

Back 20

chronic apical periodontitis

Front 21

diagnosis?: none or slight biting or percussion tenderness w/ a draining sinus tract often near MGJ w/ a periapical RL described by size and borers w/ pulpal necrosis

Back 21

suppurative apical periodontitis