Endodontics
Course Review
Enoch Ng, DDS 2014
Mobility
Transillumination
Sinus tracts
Record presence or absence
Trace with sterile 30 or 35 0.02 tapered gutta percha point
o
Can radiograph to ID associated tooth/areas
Selective anesthesia – very helpful when attempting to rule out an arch/referred pain
Anesthetize primary source of pain
o
Block vs infiltration
o
Mandibular vs maxillary anesthesia
Do NOT use PDL injection to ID source of pain
Direct dentinal stimulation
Used ONLY when all other test procedures have yielded equivocal results
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Additional considerations
o
Referred pain
Pain in anterior from anterior tooth? Pain in posterior from posterior tooth?
Pain rarely referred across midline
Anterior teeth do NOT refer mandibular pain to maxillary, or vice versa
Posterior teeth CAN refer mandibular pain to maxillary, and vice versa
o
Maxillary sinusitis
Medical history – history of sinusitis, recent cold or flu
History of present illness – postural component
o
Cracked teeth
Erratic pain on mastication
Patient has trouble explaining complaint, radiographically inconclusive
Sometimes cold sensitive, NOT percussion sensitive
Long history of pain, treatment failed to resolve symptoms
o
Bradontalgia – tooth change from change in atmospheric pressure
Terminology – refer to diagnostic terminology handout
o
Apical – by the apex
o
Periapical – around apical portion of the rooth
o
Periradicular – surrounding the root
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2 part diagnosis – pulpal and apical
