Biology of Endodontic Pain Quiz
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Questions and Answers

Which of the following is an appropriate terminology for a lesion related to the tooth?

  • Ameloblastoma
  • Metastatic lesion
  • Odontogenic lesion (correct)
  • Traumatic bone cyst
  • What is the most common type of periapical lesion associated with endodontic pathosis?

  • Cyst
  • Abscess
  • Scar
  • Granuloma (correct)
  • How can a precise diagnosis of a periapical lesion be determined?

  • Biopsy (correct)
  • Radiographic examination only
  • Clinical observation only
  • Sensibility tests (vitality tests)
  • If a tooth tests vital, what is the nature of the associated swelling?

    <p>Non-odontogenic</p> Signup and view all the answers

    What is the characteristic of irreversible pulpitis?

    <p>Spontaneous pain</p> Signup and view all the answers

    What is the effect of inflammation on the inferior alveolar nerve block with 1.8cc of lidocaine with 1:100,000 epi?

    <p>30-80% ineffective in irreversible pulpitis</p> Signup and view all the answers

    According to studies, what incidence of pulpal anesthesia is observed in patients with irreversible pulpitis when given anesthetic blocks?

    <p>55% incidence of pulpal anesthesia</p> Signup and view all the answers

    What is a poor way to assess profound local anesthesia according to the text?

    <p>Numb lips</p> Signup and view all the answers

    What is the probable biological process for a 'hot tooth'?

    <p>Altered nerve thresholds and excitability</p> Signup and view all the answers

    What is a clinical strategy for cases where the patient does not have a numb lip?

    <p>Provide a supplemental injection</p> Signup and view all the answers

    What is the key factor for anesthesia produced by the intrapulpal technique?

    <p>Pressure applied</p> Signup and view all the answers

    What is considered an inadequate method to assess pulpal anesthesia during RCT according to the text?

    <p>Numb lips</p> Signup and view all the answers

    What should be done if a patient has a profoundly numb lip but still experiences pain from provocation with the chief complaint, Endo Ice, or percussion?

    <p>Select a supplemental anesthetic injection</p> Signup and view all the answers

    What characteristic indicates that the pulp is beyond repair without intervention?

    <p>Spontaneous pain</p> Signup and view all the answers

    What is the effect of inflammation on the inferior alveolar nerve block with 1.8cc of lidocaine with 1:100,000 epi?

    <p>30-80% ineffective in irreversible pulpitis</p> Signup and view all the answers

    What is the cause of periapical pathosis?

    <p>Intra-canal bacteria</p> Signup and view all the answers

    Which system plays a role in regulating the pulpal inflammatory response?

    <p>Neuronal events system</p> Signup and view all the answers

    What is neuroplasticity related to?

    <p>All of the above</p> Signup and view all the answers

    What does hyperalgesia refer to?

    <p>An increase in the perceived magnitude of a painful stimuli</p> Signup and view all the answers

    What is the goal of anxiety reduction in preoperative patients?

    <p>To reduce postoperative pain intensity</p> Signup and view all the answers

    What contributes to the host's inability to localize an infectious process?

    <p>Cellulitis</p> Signup and view all the answers

    What is alloynia?

    <p>A reduction in pain threshold so that previously non-painful stimuli are perceived as painful</p> Signup and view all the answers

    What do neurons secrete that contributes to induction, sensitization, and maintenance of tooth pain?

    <p>Neurotransmitters, neuropeptides, and amino acids</p> Signup and view all the answers

    What is the mechanism for impulse transmission via the peripheral nervous system to the CNS called?

    <p>Gate Control Theory</p> Signup and view all the answers

    What do behavioral interventions aim to decrease before and after surgery?

    <p>Anxiety</p> Signup and view all the answers

    What might high levels of stress, anxiety, or pessimism in preoperative patients predict?

    <p>Poor outcomes including speed of wound healing and duration of hospital stay.</p> Signup and view all the answers

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