Diagnostic Challenges in Dentistry Lecture

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24 Questions

Which test is used for visualizing interproximal caries, cracks, infractions, and fractures by transmitting a powerful light through teeth?

Trans-illumination test

What should be used to remove excess dye after painting the tooth surface for the staining test?

70% isopropyl alcohol

In the bite/cusp loading test, what should the patient bite firmly on to detect a suspected cusp, tooth, or root fracture?

A cotton roll

What should be used for intraligamental local anaesthetic injection in the selective anesthesia test if pain is poorly localized?

Articaine solution

What technique should be used to apply methylene blue dye for the staining test?

Painting

What happens when pressure is applied during the bite/cusp loading test on a tooth with a suspected fracture?

The fractured segments separate temporarily

In the trans-illumination test, what prevents the passage of light across the fracture line?

Reflection

What is used to trace gutta-percha with a radiograph for identifying root fractures?

'Gutta-percha Tracing'

If pain persists after performing the selective anesthesia test in the maxillary quadrant, what should be done next?

Switch to mandibular quadrant and repeat the test there

'Tooth Slooth' is associated with which specific dental test?

'Bite/cusp loading' test

How would you visualize a suspected cusp, tooth, or root fracture using 'Tooth Slooth'?

By instructing the patient to bite firmly on it

What would be visualized by transmitting a powerful light through teeth during the trans-illumination test?

Dental caries and cracks

Which type of pain is often experienced in a wider area and felt along the distribution of the nerve involved?

Neuropathic Toothache

What type of pain may be mistaken as odontogenic pain and involves headaches in the orofacial region?

Neurovascular Toothache

In which condition does the pain involve multiple teeth and jump from one tooth to another?

Psychogenic Toothache

What could be a common painful complication of sickle cell anemia leading to pain within the teeth with absence of any dental pathology?

Sickle cell disease

Which type of pain involves pain from the masseter, temporalis, or anterior digastric muscle?

Myofacial pain

Which source of non-odontogenic pain presents with infection and inflammation in the maxillary sinus, leading to odontogenic-like pain?

Sinus Toothache

Which type of toothache may be felt in the lower left jaw and is not reduced by anesthetizing the lower jaw or providing dental treatment?

Cardiac toothache

"Pulpal pain mediated by C-fibers and is dull, aching, or throbbing in nature". This statement refers to which type of pain?

"Pupal pain"

"In case of acute pulpitis with apical periodontitis both pulpal & periapical pain will occur & this is considered the most difficult condition to be treated." This statement refers to which type of pain?

"Periapical pain"

"Vaso-occlusive crisis is a common painful complication of sickle cell anemia where blood vessels are obstructed by sickled red blood cells." This statement refers to:

"Sickle cell disease"

"Headaches involving the orofacial region may be mistaken as odontogenic pain (misdiagnosed as pulpitis)". This statement refers to which type of pain?

"Neurovascular Toothache"

"This type of pain is a diagnostic challenge to the clinician as structures innervated by these nerves are painful but appears clinically normal." This statement refers to which type of toothache?

"Neuropathic Toothache"

This lecture covers the challenges in diagnosing clinical and radiographic findings, as well as understanding the reliability of pulp tests in dentistry. It aims to provide students with a deeper understanding of potential misdiagnoses and how to interpret different diagnostic findings.

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