Endodontic Emergencies Quiz

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Questions and Answers

What is the main aim of treating endodontic emergencies?

  • Correction of misaligned teeth
  • Cosmetic restoration of the affected tooth
  • Relief of pain, infection control, and prevention of recurrence (correct)
  • Prevention of further tooth decay

What percentage of endodontic emergency cases are caused by pulp and periapical pathosis?

  • 85-90% (correct)
  • 20-30%
  • 60-70%
  • 40-50%

Which type of endodontic emergency involves severe throbbing, lingering pain especially on thermal stimuli?

  • Pulp necrosis
  • Apical periodontitis
  • Acute periapical abscess
  • Irreversible pulpitis (correct)

What does a radiograph show in endodontic emergencies?

<p>Inflammation extending to periapical tissue (A)</p> Signup and view all the answers

What are the types of endodontic emergencies that may occur post-treatment?

<p>Over instrumentation, overextended filling, under filling, fracture of root (C)</p> Signup and view all the answers

Define endodontic emergencies.

<p>Endodontic emergencies are unscheduled visits associated with pain or swelling from pulpoperiapical pathoses requiring immediate diagnosis and treatment.</p> Signup and view all the answers

What are the causes of endodontic emergencies?

<p>The causes of endodontic emergencies are pulp and periapical pathosis, which account for 85 to 90% of emergency cases. The aim is to provide relief of pain, infection control, bleeding control, and prevention of recurrence.</p> Signup and view all the answers

What is the history and diagnosis process for endodontic emergencies?

<p>The history and diagnosis process involves obtaining medical and dental history, assessing vitality using thermal and electric stimuli, asking objective pain questions about location, severity, duration, character, stimuli, and onset, as well as performing percussion and examining radiographs to determine if inflammation has extended to periapical tissue or not.</p> Signup and view all the answers

What are the types of endodontic emergencies that may occur pretreatment?

<p>The types of endodontic emergencies that may occur pretreatment are acute pulpitis, acute pulpitis with apical periodontitis, pulp necrosis, and acute periapical abscess (no swelling, localized, diffuse).</p> Signup and view all the answers

What is the characteristic pain associated with irreversible pulpitis in endodontic emergencies?

<p>Severe throbbing, lingering pain especially on thermal stimuli.</p> Signup and view all the answers

Flashcards

Endodontic Emergency

An unexpected dental visit due to pain or swelling in the tooth's pulp or surrounding tissues.

What's the aim of treating endodontic emergencies?

Pain, infection control, and preventing the problem from returning.

What are the types of endodontic emergencies?

Irreversible pulpitis, pulp necrosis, acute periapical abscess, and post-treatment complications like over-instrumentation.

Irreversible Pulpitis

The pulp is infected and inflamed, causing pain, especially with hot or cold stimuli.

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What causes most endodontic emergencies?

85-90% of endodontic emergencies are caused by problems with the pulp and the tissues around the tooth's root.

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What can a radiograph tell us about endodontic emergencies?

A radiograph shows inflammation spreading to the area around the tooth's root.

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What are some key aspects of diagnosing an endodontic emergency?

The patient's history, pain characteristics, and a visual examination of the tooth.

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What are some possible complications after endodontic treatment?

Overfilling, underfilling, or breaking the tooth's root during treatment.

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What is the 'thermal test' used for in diagnosing endodontic emergencies?

A test that uses cold or hot stimuli to check the tooth's responsiveness.

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What is the 'electric pulp test' used for in diagnosing endodontic emergencies?

A test that uses an electric current to assess the tooth's ability to respond.

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Study Notes

Endodontic Emergencies

  • The main aim of treating endodontic emergencies is to alleviate pain and prevent further complications.

Causes of Endodontic Emergencies

  • 90% of endodontic emergency cases are caused by pulp and periapical pathosis.

Characteristics of Endodontic Emergencies

  • Severe throbbing, lingering pain, especially on thermal stimuli, is associated with acute pulpitis.
  • Characteristic pain associated with irreversible pulpitis includes spontaneous, lingering, and heightened sensitivity to thermal stimuli.

Radiographic Findings in Endodontic Emergencies

  • A radiograph shows bone loss, apical radiolucency, or a widened periodontal ligament space in endodontic emergencies.

Types of Endodontic Emergencies

  • Pretreatment endodontic emergencies include acute pulpitis, irreversible pulpitis, and acute apical periodontitis.
  • Post-treatment endodontic emergencies include flare-ups, post-treatment apical periodontitis, and localized acute apical abscesses.

Definition and Diagnosis of Endodontic Emergencies

  • Endodontic emergencies are urgent situations requiring immediate attention to alleviate pain and prevent further complications.
  • History and diagnosis process involves patient history, clinical examination, and radiographic evaluation to determine the underlying cause of the emergency.

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