Based on the clinical examination, what is the pulpal diagnoses of teeth #'s 24 and 25:
24- Cold: WNL, EPT: 40, Percussion: WNL, Palpation: WNL,
... [Show More] Probing: 2-3
25- same
Normal
Reversible pulpitis
Symptomatic irreversible pulpitis
Asymptomatic irreversible pulpitis
Necrotic
Normal
24- Cold: WNL, EPT: 40, Percussion: WNL, Palpation: WNL, Probing: 2-3
25- same
What is the periapical diagnoses of teeth #'s 24 and 25:
Normal
Symptomatic periapical periodontitis
Asymptomatic periapical periodontitis
Acute Apical Abscess
Non-odontogenic
Non-odontogenic
What is the recommended treatment?
RCT on #23, #24, and #25
No treatment
Periapical surgery and biopsy
Give patient analgesics and antibiotics and follow-up
None of the above
No Treatment
What is the most likely diagnosis for this case?
Periapical cyst and/or granuloma
Periapical cemento-osseous dysplasia
Periodontal cyst originated from primordial tissue
Lymphoma metastasized
Carcinoma in situ
PCOD
1. There usually is no lesion apparent radiographically in symptomatic apical periodontitis.
However, histologically bone destruction has been noted in animal studies.
a. Both statements are true.
b. Both statements are false.
c. First statement is true, second is false.
d. First statement is false, second is true.
A- both statements are true
2. Based solely on the sharp transient response of pulp to hot stimuli, what is the
periradicular diagnosis?
a. Acute apical periodontitis
b. Cannot diagnose based on information provided
c. Acute apical abscess
d. Irreversible pulpitis
B- cannot diagnose (but prob Irreversible Pulpitis)
. What is the clinical 'hallmark' of a chronic periradicular abscess?
a. Large periradicular lesion
b. Sinus tract drainage
c. Granulation tissue in the periapex
d. Cyst formation
B- Sinus Tract Drainage
4. A periradicular radiolucent lesion of endodontic origin on the radiograph may be
any of these histological diagnoses except one. Mark this exception.
a. Radicular cyst
b. Granuloma
c. Abscess
d. Dentigerous cyst
D. Dentigerous Cyst
5. What endodontic diagnosis could be completely asymptomatic but
should require endodontic therapy?
a. Pulpal necrosis and acute periradicular abscess
b. Normal pulp and symptomatic apical periodontitis
c. Pulpal necrosis and asymptomatic periradicular periodontitis
d. Pulpal necrosis and acute apical abscess
e. C and D
C- pulpal Necrosis and Asymptomatic Periradicular periodontitis
On clinical and radiographic examination of #30, you find that #30 is non-responsive to thermal and electric testing and also not responsive to percussion or palpation. You observe radiolucency around the distal root of #30 with extensive secondary decay under a class 2 amalgam. What do you do next?
A. refer for endo therapy for #31
B. Access the tooth yourself for pulpectomy and CaOH dressing
C. Prescribe antibiotics and pain killers
D. Look for another site as cause for CC
D. Look for another site as cause for CC [Show Less]