Clinic Lecture 6

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20 Questions

What are the different types of stimuli that can elicit a pain reaction?

Tactile, thermal, evaporative, osmotic, and chemical

What can reduce dentinal tubule size and sensitivity?

Biofilm control

What is hypersensitivity characterized by?

Sharp, short, or transient pain in response to non-noxious stimuli

What can cause tooth sensitivity?

Clenching and grinding

What is dentin composed of?

Fluid-filled dentinal tubules that are potentially innervated with nerve fiber endings

Which of the following is a self-applied desensitizing measure?

Oxalates

What is a common cause of hypersensitivity?

Gingival recession

What can help reduce sensitivity caused by tooth whitening agents?

Potassium nitrate

Which of the following is a professionally applied desensitizing measure?

Tray-delivered fluoride agents

What can lead to hypersensitivity?

Attrition, abrasion, and erosion

What can be used to cover sensitive dentinal surfaces?

Soft-tissue grafts

What theory explains the transmission of stimuli from the outer surface of the dentin to the pulp?

Hydrodynamic theory

Which of the following is not scientifically proven to help reduce sensitivity?

Desensitizing agents

What are some natural desensitization mechanisms?

Sclerosis of dentin, secondary dentin, smear layer, and calculus

Who is hypersensitivity most commonly found among?

30- to 40-year-olds

What can cause sensitivity during periodontal debridement?

Biofilm control

What factors can impact pain perception?

Stress, fatigue, and health beliefs

What can help reduce sensitivity caused by parafunctional habits?

Desensitizing agents

What are some diagnostic techniques and tests used for tooth fractures?

Visual and radiographic assessments, percussion, and mobility testing

What can reduce sensitivity caused by acidic foods and beverages?

Dietary modifications

Study Notes

  1. Various stimuli can elicit a pain reaction, including tactile, thermal, evaporative, osmotic, and chemical.
  2. Hypersensitivity is characterized by sharp, short, or transient pain in response to non-noxious stimuli.
  3. Dentin is composed of fluid-filled dentinal tubules that are potentially innervated with nerve fiber endings.
  4. Gingival recession is a common cause of hypersensitivity.
  5. Attrition, abrasion, and erosion can also lead to hypersensitivity.
  6. Hydrodynamic theory explains the transmission of stimuli from the outer surface of the dentin to the pulp.
  7. Natural desensitization mechanisms include sclerosis of dentin, secondary dentin, smear layer, and calculus.
  8. Hypersensitivity is most commonly found among 30- to 40-year-olds and in women.
  9. Pain perception can be impacted by various factors such as stress, fatigue, and health beliefs.
  10. Diagnostic techniques and tests include visual and radiographic assessments, percussion, and mobility testing.
  • Bite stick used to assess tooth fracture pain
  • Transillumination with high-intensity light to visualize cracked tooth
  • Dye may indicate fracture line
  • Pulpal pathology assessment
  • Thermal pulp tests used for assessment
  • Electric pulp tests used for assessment
  • Techniques used to diagnose tooth fractures
  • Bite stick and transillumination are non-invasive techniques
  • Pulp tests involve minimal discomfort
  • Early detection of tooth fractures can prevent further damage.

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