Flashcards
Toothache 1
Cards in this deck (38)
- 1What are the two types of pulpitis?Reversible/Irreversible
- 2T/F - vitality testing is 100% accurateFalse
- 3T/F - pulpitis will only cause symptoms if the pulp is still vitalTrue
- 4What is reversible pulpitis?Inflammation of the pulp which will reverse if the causative stimulus is removed
- 5What is irreversible pulpitis?Inflammation of the pulp which will not reverse even if the causative stimulus is removed
- 6Which are more superficially located, a-delta or C fibres?a-delta
- 7Short, sharp pain is detected by which type of fibre?a-delta
- 8Pain lasting after the stimulus is removed is detected by which type of fibre?C
- 9Which fibre type is predominantly responsive to heat?C
- 10Which fibre type has a low excitation threshold?A-delta
- 11Which fibre type is unmyelinated so conducts pain more slowly than the other?C
- 12Involvement of C fibres indicates what type of pulpitis?Irreversible
- 13What are the three main causes of pulpitis?Chemical
Physical
Exposed vital dentine - 14What are some chemical causes of pulpitis?Filling/irritants near pulp
(Caries)
(Cracked tooth)
(Microleakage)
- introducing bacterial products - 15What are some physical causes of pulpitis?Heat (thermoconductive filling)
Heat (no water coolant)
Dehydration (dessicated dentine) - 16Why does exposed vital dentine cause reversible pulpitis?Hydrodynamic theory - pressure changes in tubule fluid = nerve plexus of rasch. triggered = pain
- 17What are some causes of exposed vital dentine?Fracture
Recession
Abrasion/Erosion/Attrition
Cracked tooth syndrome - 18T/F - with CTS pain arises on mastication in the tooth in generalFalse - specific part of tooth
- 19What instrument may be used to test for CTS?Tooth sleuth
- 20Pain from CTS is caused by what?Snapping shut of the fracture (hydrodynamic change)
- 21T/F - reversible pulpitis usually requires pain relief and can interrupt sleepFalse - vv
- 22Reversible pulpitis tends to produce a pain which is present...When the stimulus is present, not at rest
- 23Pain in reversible pulpitis tends to beShort + sharp
- 24Pain in reversible pulpitis tends to bespontaneous + throbbing
- 25T/F - pain in reversible pulpitis lasts after the stimulus is removedFalse
- 26How should you treat exposed vital dentine?Restore/Desensitising agent (F- varnish)/Sealing tubules
- 27How would you treat CTS?Seal fracture portion / Remove fractured portion and restore
- 28How could you find the cause of reversible pulpitis?Vitality testing
Radiography
Clinical exam
Tooth sleuth - 29Pain is more often triggered by ----- in irreversible pulpitis?Heat
- 30Pain is more severe in ----- pulpitis and patients often need pain relief / have disrupted sleepIrreversible
- 31Why may the tooth become sensitive to pressure if inflammation carries on?Spreads to PDL = potential for abscess
- 32What are treatment options for irreversible pulpitis?RCT / Extraction
- 33Referred pain is usually on the ---- sideIpsilateral
- 34Multi-combination irrev/rev pulpitis tend to occur in...Multi-rooted teeth
- 35Irreversible pulpitis tends to involve more severe painTrue
- 36Apart from pulpitis, what could the pain be?Non-vital tooth or not a tooth problem (sinusitis etc)
- 37Referred pain is what?Pain distant from the cause
- 38T/F - antibiotics treat pulpitisFalse
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- Undergraduate Conservative Dentistry (Pathological sequelae) Flashcards on Toothache 1, created by 0 9 on 22/06/2016.
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