34 Questions
What percentage of dental emergencies are a result of pulpal or periapical disease?
85%
What are the basic principles of emergency treatment mentioned in the text?
Adjust the occlusion if indicated
What is defined as an endodontic emergency?
Pain or swelling caused by inflammation of the pulp or periapical tissues
In an emergency situation, what must be established to provide an accurate diagnosis?
All of the above
What should be done if fluid exudate is present in an emergency situation?
Provide drainage
What is the main emphasis of this lecture?
Treatment of symptomatic pulpitis
What is the educational aim related to non-odontogenic pain in this lecture?
To explain how to manage non-odontogenic pain in an emergency appointment
What should be provided if analgesics are required in an emergency situation?
'Oral' analgesics
What should be adjusted if indicated in an emergency treatment?
'Occlusion'
What must be done to manage symptomatic apical periodontitis in an emergency appointment?
'Root canal' therapy
How many aims are mentioned for this lecture?
3
What must be established for an accurate diagnosis in an emergency situation?
All of the above
What is the recommended management for patients with cellulitis that seems to be involving the floor of the mouth and upper neck?
Immediate drainage of relevant tissue compartments and intravenous antibiotics
What is the suggested management for a patient experiencing pain after canal preparation and cleaning?
Reassurance and analgesics
What are some signs and symptoms of hypochlorite accidents?
Acute pain, swelling, bruising, or paraesthesia
In case of secondary apical periodontitis, what is the management approach?
Intracanal medication and sealing with a temporary filling for a few days
What is the recommended action in the case of incomplete removal of pulp tissue?
Determine the correct working length and remove the remnants of the pulp tissues
What are some causes of post-appointment pain following obturation?
Irritation by obturation materials, extrusion of sealer periapically, overfilling
What should be done if it is determined that a patient's pain is not of odontogenic origin?
Refer the patient to an orofacial pain clinic for further testing
What are some aims of the lecture on endodontic emergencies?
To explain how to manage symptomatic pulpitis in an emergency appointment
What is recommended as an emergency treatment for non-odontogenic pain?
Referral to an orofacial pain clinic for further testing
What could be a sign of hypochlorite accidents?
Bruising or paraesthesia
What should be done if a patient's general health is influenced by periapical inflammation?
Antibiotics in conjunction with appropriate endodontic treatment are recommended
What management approach is suggested for patients experiencing cellulitis?
Drainage and prescription of antibiotics
What emergency treatment can be used for dental hypersensitivity due to dentin exposure?
Topical applications of desensitizing agents and certain dentifrices
In the emergency treatment of irreversible pulpitis, what is the ideal treatment when time allows?
Complete removal of the diseased pulp and preparation of the root canal system (pulpectomy)
What is the recommended treatment for reversible pulpitis induced by caries?
Conservative removal of caries, protection of dentin, and proper restoration
What is the emergency treatment for acute pulpitis with apical periodontitis?
Removal of all pulp tissue from the root canals, irrigation with sodium hypochlorite, and closure of the access cavity
Why is infiltration anesthesia into the abscess contraindicated in acute periapical abscess?
It may lead to dissemination of microorganisms
What is the first choice for drainage in acute periapical abscess?
Through the canal
In case of lack of time or copious exudate in acute periapical abscess, what is permissible with regards to leaving the tooth on open drainage?
Leaving the canal open for longer periods
What is the pattern of drainage in acute periapical abscess if there is a bloody tinged exudate?
Pus mixed with blood (bloody tinged)
What is involved in artificial fistulation (artifistulation) in acute periapical abscess?
Cortical trephination without any swelling or severe pain
What is the method for obtaining drainage in case of severe swelling in acute periapical abscess?
Incision & drainage (I & D)
Learn about the types and diagnosis of pulpal and periapical pain, and how to manage symptomatic pulpitis and apical periodontitis in an emergency dental appointment. Explore techniques for managing non-odontogenic pain effectively.
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