Podcast
Questions and Answers
What is the first stage in the process of making a diagnosis?
What is the first stage in the process of making a diagnosis?
- Differential diagnosis
- Reasons for seeking advice (correct)
- Symptoms and history
- Objective clinical tests
What is the art and science of detecting and distinguishing deviations from health, its cause, and nature?
What is the art and science of detecting and distinguishing deviations from health, its cause, and nature?
- Prevention
- Treatment
- Diagnosis (correct)
- Prognosis
What is the most convenient way of recording a patient's medical history?
What is the most convenient way of recording a patient's medical history?
- Asking the patient to recall their medical history
- Using a digital medical history database
- Memorizing the patient's medical history
- Using a checklist kept in the patient’s file (correct)
What type of examination involves soft tissue examination, palpation, periodontal examination, percussion test, and mobility?
What type of examination involves soft tissue examination, palpation, periodontal examination, percussion test, and mobility?
What does the process of making a diagnosis involve?
What does the process of making a diagnosis involve?
What does differential diagnosis in endodontics require?
What does differential diagnosis in endodontics require?
What kind of test is used to determine the sensitivity of the pulp?
What kind of test is used to determine the sensitivity of the pulp?
What type of examination involves examining the patient's face, neck, and temporomandibular joint?
What type of examination involves examining the patient's face, neck, and temporomandibular joint?
What does the medical history enable the clinician to determine?
What does the medical history enable the clinician to determine?
What does the process of making a diagnosis involve using scientific knowledge to do?
What does the process of making a diagnosis involve using scientific knowledge to do?
What is the purpose of the electric pulp tester (EPT)?
What is the purpose of the electric pulp tester (EPT)?
What does a positive response to the EPT depend on?
What does a positive response to the EPT depend on?
What are the limitations of the electric pulp tester (EPT)?
What are the limitations of the electric pulp tester (EPT)?
What does Laser Doppler Flowmetry (LDF) measure?
What does Laser Doppler Flowmetry (LDF) measure?
What are the objectives of the lecture on pulp and periapical injuries?
What are the objectives of the lecture on pulp and periapical injuries?
What is a limitation of x-ray in the context of endodontics?
What is a limitation of x-ray in the context of endodontics?
What can Cone beam CT detect in endodontics?
What can Cone beam CT detect in endodontics?
What is the educational aim of the lecture on pulp and periapical injuries?
What is the educational aim of the lecture on pulp and periapical injuries?
What does the electric pulp tester (EPT) probe need to be coated with?
What does the electric pulp tester (EPT) probe need to be coated with?
What does the electric pulp tester (EPT) deliver to excite a response from the A-delta nerve fibres?
What does the electric pulp tester (EPT) deliver to excite a response from the A-delta nerve fibres?
Which examination involves observing physical limitations, signs of facial asymmetry, and facial swelling?
Which examination involves observing physical limitations, signs of facial asymmetry, and facial swelling?
What are the two types of tests involved in pulp testing?
What are the two types of tests involved in pulp testing?
Which type of nerve fibers do cold tests stimulate effectively?
Which type of nerve fibers do cold tests stimulate effectively?
What does the past dental history help evaluate?
What does the past dental history help evaluate?
What does the soft tissue examination involve checking for?
What does the soft tissue examination involve checking for?
What does the history of present dental problem involve careful questioning in five directions about?
What does the history of present dental problem involve careful questioning in five directions about?
What does palpation in intraoral examination check for?
What does palpation in intraoral examination check for?
What does the periodontal examination characterize and detect?
What does the periodontal examination characterize and detect?
What does the chief complaints include?
What does the chief complaints include?
What does the patient medical history include?
What does the patient medical history include?
What is the purpose of the electric pulp tester (EPT)?
What is the purpose of the electric pulp tester (EPT)?
What does Laser Doppler Flowmetry (LDF) measure?
What does Laser Doppler Flowmetry (LDF) measure?
What does differential diagnosis in endodontics require?
What does differential diagnosis in endodontics require?
What does a positive response to the EPT depend on?
What does a positive response to the EPT depend on?
What does the process of making a diagnosis involve using scientific knowledge to do?
What does the process of making a diagnosis involve using scientific knowledge to do?
What type of examination involves observing physical limitations, signs of facial asymmetry, and facial swelling?
What type of examination involves observing physical limitations, signs of facial asymmetry, and facial swelling?
What does the patient medical history include?
What does the patient medical history include?
What does the soft tissue examination involve checking for?
What does the soft tissue examination involve checking for?
What does the chief complaints include?
What does the chief complaints include?
What is the educational aim of the lecture on pulp and periapical injuries?
What is the educational aim of the lecture on pulp and periapical injuries?
Which type of nerve fibers does the electric pulp tester (EPT) aim to excite a response from?
Which type of nerve fibers does the electric pulp tester (EPT) aim to excite a response from?
What does the electric pulp tester (EPT) probe need to be coated with?
What does the electric pulp tester (EPT) probe need to be coated with?
What does Laser Doppler Flowmetry (LDF) measure?
What does Laser Doppler Flowmetry (LDF) measure?
What is the main aim of the educational lecture on pulp and periapical injuries?
What is the main aim of the educational lecture on pulp and periapical injuries?
What are the limitations of x-ray in endodontics?
What are the limitations of x-ray in endodontics?
What does the process of making a diagnosis involve?
What does the process of making a diagnosis involve?
What does the chief complaint in the patient information involve?
What does the chief complaint in the patient information involve?
What does the periodontal examination characterize and detect?
What does the periodontal examination characterize and detect?
What kind of test is used to determine the sensitivity of the pulp?
What kind of test is used to determine the sensitivity of the pulp?
What does the soft tissue examination involve checking for?
What does the soft tissue examination involve checking for?
What type of nerve fibers do cold tests effectively stimulate?
What type of nerve fibers do cold tests effectively stimulate?
What does the process of pulp testing involve?
What does the process of pulp testing involve?
What is the primary purpose of the extraoral examination in dental patient history and examination?
What is the primary purpose of the extraoral examination in dental patient history and examination?
What does the chief complaints of the patient include?
What does the chief complaints of the patient include?
What is involved in the history of present dental problem?
What is involved in the history of present dental problem?
What does the intraoral examination include?
What does the intraoral examination include?
What is the purpose of palpation in intraoral examination?
What is the purpose of palpation in intraoral examination?
What is the primary focus of the periodontal examination?
What is the primary focus of the periodontal examination?
What do thermal tests assess in pulp testing?
What do thermal tests assess in pulp testing?
What does the soft tissue examination involve checking for?
What does the soft tissue examination involve checking for?
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Study Notes
Dental Patient History and Examination Summary
- Patient medical history includes heart trouble, high blood pressure, antibiotic cover for dental treatment, excessive bleeding tendency, asthma, TB, bronchitis, renal disease, liver disease, epilepsy, allergies, pregnancy, depression, current medications, hospital admissions, smoking, and alcohol consumption.
- Past dental history helps evaluate the sophistication of previous treatments and patient expectations.
- Chief complaints include pain, anxiety about disease effects, treatment, cost/loss of earnings, and appearance.
- History of present dental problem involves careful questioning in five directions: localization, commencement, intensity, provocation and attenuation, and duration.
- Extraoral examination involves observing physical limitations, signs of facial asymmetry, and facial swelling.
- Intraoral examination includes soft tissue examination, palpation, periodontal examination, percussion test, and mobility test.
- Soft tissue examination involves checking for signs of inflammation, sinus tract openings, induration, swellings, fibroepithelial growth, ulcers, and discoloration.
- Palpation differentiates normal landmarks from pathological intraoral swellings and checks for induration, fluctuation, or eggshell crackling.
- Periodontal examination characterizes periodontal status and detects root fractures, localized iatrogenic perforations, and loss of attachment.
- Pulp testing includes sensitivity tests (thermal tests and electric pulp test) and vitality tests (laser Doppler flowmetry and pulse oximetry).
- Thermal tests assess neural response and involve cold tests (using ethyl chloride or rubber dam with cold water) and heat tests (using hot gutta-percha stick or rubber dam with hot water).
- Cold tests are more effective in assessing nerve status than heat tests due to their ability to stimulate A-delta nerve fibers and contraction of dentinal fluid.
Dental Patient History and Examination Summary
- Patient medical history includes heart trouble, high blood pressure, antibiotic cover for dental treatment, excessive bleeding tendency, asthma, TB, bronchitis, renal disease, liver disease, epilepsy, allergies, pregnancy, depression, current medications, hospital admissions, smoking, and alcohol consumption.
- Past dental history helps evaluate the sophistication of previous treatments and patient expectations.
- Chief complaints include pain, anxiety about disease effects, treatment, cost/loss of earnings, and appearance.
- History of present dental problem involves careful questioning in five directions: localization, commencement, intensity, provocation and attenuation, and duration.
- Extraoral examination involves observing physical limitations, signs of facial asymmetry, and facial swelling.
- Intraoral examination includes soft tissue examination, palpation, periodontal examination, percussion test, and mobility test.
- Soft tissue examination involves checking for signs of inflammation, sinus tract openings, induration, swellings, fibroepithelial growth, ulcers, and discoloration.
- Palpation differentiates normal landmarks from pathological intraoral swellings and checks for induration, fluctuation, or eggshell crackling.
- Periodontal examination characterizes periodontal status and detects root fractures, localized iatrogenic perforations, and loss of attachment.
- Pulp testing includes sensitivity tests (thermal tests and electric pulp test) and vitality tests (laser Doppler flowmetry and pulse oximetry).
- Thermal tests assess neural response and involve cold tests (using ethyl chloride or rubber dam with cold water) and heat tests (using hot gutta-percha stick or rubber dam with hot water).
- Cold tests are more effective in assessing nerve status than heat tests due to their ability to stimulate A-delta nerve fibers and contraction of dentinal fluid.
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