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Endodontic Diagnosis Exam Practice Questions and Answers.
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Endodontic Diagnosis Exam Practice Questions and Answers.Endodontic Diagnosis Exam Practice Questions and Answers.
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Endodontic Diagnosis Exam Practice Questions andAnswers.
5 Steps of making Endodontic diagnosis: - Correct Answer1. Patient explains chief
complaint
2. Clinician questions pt about symptoms and history
3. Clinician performs objective clinical test
4. Clinician correlates objective findings w/ subjective details and creates a list of
tentative diagnoses
5. Clinician formulates a definitive diagnosis
"Chief complaint": - Correct Answer-Documented in patient's own words
-Direct, unbiased comments by patient
-will give you clues to formulate diagnosis
-Always reproduce CC.
List of questions to ask about the dental pain: - Correct Answer-Localization
-Commencement
-Intensity
-Provocation
-Duration
-Quality
Which source of pain is likely to be referred? - Correct AnswerPulpal pain
(3.4% referred to opposite jaw;
1.5% referred across midline)
If a patient can identify the tooth where the pain is coming from, it most likely involves
____________ symptoms - Correct AnswerPeriapical symptoms
Name 4 Diagnostic tests done in clinic: - Correct Answer1. Extraoral/Intraoral exam
2. Pulp vitality test : thermal, electrical
3. Periapical diagnosis: Percussion, palpation, PD, biting
4. Transillumination
What diagnostic tests are done for Pulpal diagnosis? - Correct AnswerPulp vitality test:
-Thermal test (cold, hot)
-Electrical Pulp test (EPT)
***Cold & EPT combined increases accuracy
Intraoral/ Extraoral examination::
(To search for etiology of pain) - Correct Answer<Extraoral>
-Swelling
-Facial asymmetry
-Sinus tracts
, <Intraoral>
-Caries, toothbrush abrasion, exposed dentin, discolored teeth, mobility, fractured/
cracked crowns, wear facets, extensive or defective restorations, soft tissue lesions
(sinus tract, swelling)
Name tests done for Pulp vitalityvs. Periapical health: - Correct Answer<Pulp>
-Thermal test
-EPT (Electrical pulp test)
<Periapical>
-Percussion
-Palpation
-Bite test
-Probing depths
What diagnostic tests are done for Periodontal diagnosis? - Correct Answer-Percussion
-Palpation
-Probing depths
-Bite test
____________ is the most accurate and reliable Pulp vitality test. - Correct AnswerCold
test
Which teeth are usually used as Control tooth when doing Pulp vitality test? - Correct
Answer-Adjacent teeth ***
-Contralateral teeth
Explain how Cold test is done: - Correct Answer-Establish control first (adjacent or
contralateral tooth)
-Get Size 2 cotton pellet, "freeze" it with Endo Ice spray
-Hold it firmly against tooth in pain @ Mid-facial area or buccal cusps
-instruct patient to raise hand when they feel cold and put the hand down when it's gone
(duration)
Explain how Electric pulp test (EPT) is done: - Correct Answer1. Dry teeth and isolate
w/ cotton roll
2. Apply tooth paste on tip and apply tip on incisal edge or buccal cusp
3. Have the patient hold the carrier and instruct to "let go" when they feel tingling
sensation
List all factors that cause False negative responses to EPT test: - Correct Answer-
heavily pre-medicated
-inadequate probe to tooth contact
-Recent tooth trauma
-Significant canal calcification
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