Dental Diagnostic Challenges Quiz

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What is the purpose of the trans-illumination test?

To show interproximal caries, cracks, infractions, and fractures (correct)

To assess the extent of gum disease

To measure the depth of caries in teeth

To evaluate the effectiveness of tooth restorations

What is the purpose of the staining test?

To visualize cracks or fractures in teeth (correct)

To assess the color of tooth enamel

To evaluate the hardness of tooth enamel

To measure the depth of dental caries

What is the purpose of bite/cusp loading tests?

To assess the effectiveness of dental fillings

To measure the depth of gum pockets

To assess suspected cusp, tooth, or root fractures (correct)

To evaluate the strength of tooth enamel

What is the purpose of the selective anesthesia test?

To assess poorly localized pain with intraligamental local anaesthetic injection Signup and view all the answers

Which test is used to trace gutta-percha with a radiograph?

Gutta-percha tracing test Signup and view all the answers

What does the trans-illumination test show when a powerful light is transmitted through teeth?

Interproximal caries, cracks, infractions, and fractures Signup and view all the answers

How is the staining test performed?

Methylene blue dye is painted on the tooth surface to visualize cracks or fractures Signup and view all the answers

What is the patient instructed to do in bite/cusp loading tests?

Bite firmly on a cotton roll or a 'Tooth Slooth' Signup and view all the answers

What is the purpose of gutta-percha tracing with a radiograph?

To aid in diagnosing dental conditions Signup and view all the answers

What type of symptoms does the selective anesthesia test assess?

Poorly localized pain Signup and view all the answers

What type of pain is associated with anginal pain felt in the lower left jaw?

Sinus toothache Signup and view all the answers

How can myofacial pain be differentiated?

By palpation of the suspected muscle Signup and view all the answers

What distinguishes neurovascular toothache from odontogenic pain?

History and comprehensive clinical examination Signup and view all the answers

What is a characteristic of neuropathic toothache?

Pain jumping from one tooth to another Signup and view all the answers

When does pulpitis pain become sharp and throbbing?

When the pulp is irreversibly inflamed Signup and view all the answers

What is a characteristic of periapical pain?

Localized due to mechanoreceptors Signup and view all the answers

What is a common painful complication of sickle cell anemia?

Vaso-occlusive crisis Signup and view all the answers

What is the nature of pulpal pain mediated by C-fibers?

Dull, aching, or throbbing Signup and view all the answers

What is the diagnostic challenge with neuropathic toothache?

Pain felt along the distribution of the nerve involved Signup and view all the answers

What is the distinguishing factor of psychogenic toothache?

Involves multiple teeth Signup and view all the answers

Which test is performed to assess the pulp status when all other tests are inconclusive?

Cavity test Signup and view all the answers

What may still be viable in necrotic pulp tissue?

A-delta fibres Signup and view all the answers

Which structure may be confused with a periradicular lesion in radiographic appearance?

Inferior dental canal Signup and view all the answers

What category of pulpitis is characterized by aching and throbbing pain radiating from the maxilla to the mandible or vice versa?

Irreversible pulpitis Signup and view all the answers

What is the likely diagnosis if a tooth is extremely tender to touch and palpation of the overlying gingiva is painful?

Acute apical abscess Signup and view all the answers

What is the characteristic of chronic periapical abscess that distinguishes it from chronic apical periodontitis?

It is usually associated with a draining sinus tract Signup and view all the answers

What structures serve as sources for primary odontogenic pain?

Pulp–dentin complex and the periradicular tissues Signup and view all the answers

What are the warning symptoms of non-odontogenic toothache?

All of the above Signup and view all the answers

What is the likely diagnosis if a tooth does not respond to sensitivity testing and is symptom-free?

Chronic apical periodontitis Signup and view all the answers

What is the purpose of magnifying binocular loupes and dental operating microscopes in endodontic procedures?