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Index
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ENDDNT
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Chapter 1
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CLASSIFICATION OF DISEASE
level: CLASSIFICATION OF DISEASE
Questions and Answers List
level questions: CLASSIFICATION OF DISEASE
Question
Answer
A clinical diagnostic category in which the pulp is symptom free and normally responsive to pulp testing
Normal pulp
A clinical diagnosis based on subjective and objective findings indicating that the inflammation should resolve and the pulp return to normal.
Reversible Pulpitis
A clinical diagnosis: lingering thermal pain, spontaneous pain, referred pain.
Symptomatic Irreversible Pulpitis
A clinical diagnosis based on subjective and objective findings indicating that the vital inflamed pulp is incapable of healing.
Asymptomatic Irreversible Pulpitis
A clinical diagnosis: no clinical symptoms but inflammation produced by caries, caries excavation, trauma.
Asymptomatic Irreversible Pulpitis
A clinical diagnostic category indicating death of the dental pulp. The pulp is usually nonresponsive to pulp testing.
Pulp Necrosis
A mild to moderate inflammation of the pulp caused by noxious stimuli in which the pulp is capable of returning to the uninflamed state following the removal of stimuli
Reversible Pulpitis
“reactive” form of pulpitis; wherein the dentin has the ability to form reparative dentin to protect the pulp from noxious stimuli
Reversible Pulpitis
Symptoms: Thermal - momentary, quick, sharp, hypersensitive response that subsides as soon as stimulus is removed; Percussion (-); Palpation (-)
Reversible Pulpitis
Types of Reversible Pulpitis:Characterized by a sharp pain lasting for a short moment only
Acute Reversible Pulpitis
Types of Reversible Pulpitis:Does not occur spontaneously, and must have stimulus to produce pain; pain ceases upon removal of the stimulus; cause of pain is generally traceable to a stimulus
Acute Reversible Pulpitis
Types of Reversible Pulpitis:May result from incipient caries and is resolved upon removal of the caries and proper restoration
Chronic Reversible Pulpitis
most common cause of asymptomatic reversible pulpitis
Bacteria from caries
Persistent inflammation of the pulp which is caused by noxious stimuli
Irreversible Pulpitis
Is usually caused by hot or cold stimuli; Can occur spontaneously; Is persistent for several minutes to hours even after removal of thermal stimulus
Irreversible Pulpitis
Types of Irreversible Pulpitis:Pulp exhibits little or no pain, except when food is packed into the cavity
Chronic Irreversible Pulpitis
Types of Irreversible Pulpitis:Symptoms include a diffuse, dull, constant pain, characterized as throbbing and gnawing
Chronic Irreversible Pulpitis
Types of Irreversible Pulpitis:extreme pain when subjected to heat
Chronic Irreversible Pulpitis
Types of Irreversible Pulpitis:Episodes of pain due to sudden temperature change; Sudden temperature changes, particularly cold
Acute Irreversible Pulpitis
Types of Irreversible Pulpitis:Recumbency (lying down) which results in congestion of the blood vessels of the pulp
Acute Irreversible Pulpitis
Types of Irreversible Pulpitis:Sweet or acidic food, Pressure from packing food into a cavity, Suction exerted by the tongue or cheek
Acute Irreversible Pulpitis
Types of Irreversible Pulpitis:Localized referred pain which lingers after the stimulus is removed
Acute Irreversible Pulpitis
refers to the death of the pulp
Pulp Necrosis
described as a dry-gangrenous appearance
Pulp Necrosis
Thermal (-), EPT (-), Percussion (-) or (+),
Pulp Necrosis
Two types of Pulp Necrosis:Happens when the soluble portion of the pulp is precipitated or is converted into a solid material
Coagulation Necrosis
Two types of Pulp Necrosis:Yellowish in color
Coagulation Necrosis
Two types of Pulp Necrosis:Most common pulp necrosis observed
Liquefaction Necrosis
Two types of Pulp Necrosis:Bavarian appearance
Liquefaction Necrosis
Two types of Pulp Necrosis:results when pulp tissue is converted into a softened mass, a liquid, or an amorphous debris by the proteolytic enzymes released by caries bacteria
Liquefaction Necrosis
Two types of Pulp Necrosis:grayish or brownish discoloration and the tooth lacks the usual brilliance and luster
Liquefaction Necrosis
Clinical Classification of Periapical Diseases:Inflammation around the apex of vital or non-vital teeth; Slightly to extremely painful when chewing
ACUTE APICAL PERIODONTITIS
Clinical Classification of Periapical Diseases:Usually observed upon percussion; Radiograph shows slightly widened periodontal ligamen
ACUTE APICAL PERIODONTITIS
Clinical Classification of Periapical Diseases:Cause: premature contacts; periodontal in origin
ACUTE APICAL PERIODONTITIS
Clinical Classification of Periapical Diseases: Inflammation and destruction of apical periodontium that is of pulpal origin
CHRONIC APICAL PERIODONTITIS
Clinical Classification of Periapical Diseases:Appears as an apical radiolucent area, and does not produce clinical symptoms; no pain
CHRONIC APICAL PERIODONTITIS
Clinical Classification of Periapical Diseases:Tooth feels “different or hollow” when chewing or with percussion
CHRONIC APICAL PERIODONTITIS
Clinical Classification of Periapical Diseases:75% is associated to granuloma; Clinically shows swelling on the gingiva, but not painful and also no sinus tract
CHRONIC APICAL PERIODONTITIS
Clinical Classification of Periapical Diseases:Thermal and EPT – negative; Percussion – slight; Palpation – slight
Apical Periodontitis
Clinical Classification of Periapical Diseases:Swelling, Bukol sa gums, Mild - moderate
Acute Periradicular Abscess
Clinical Classification of Periapical Diseases:Mobile and extruded, Painful when biting
Acute Periradicular Abscess
Clinical Classification of Periapical Diseases:With/ without Sinus tract, No pain, Necrotic tooth
Chronic Periradicular Abscess
Clinical Classification of Periapical Diseases:Gumboil, with or without bukol
Chronic Periradicular Abscess
Clinical Classification of Periapical Diseases:Acute exacerbation of a chronic lesion
Phoenix Abscess
Clinical Classification of Periapical Diseases:Acute before but with increased immunity, pain disappeared but with an event where immunity is decreased, pain reappears
Phoenix Abscess
Clinical Classification of Periapical Diseases:Comes and goes, and there is no presence of sinus tract, making this case difficult to treat; Reaction of bone to trauma
Periapical osteosclerosis