Endodontic Therapy Systemic Contraindications Quiz

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How does the patient typically describe bony origin pain?

Pulsating

Dull (correct)

Throbbing

Sharp

What type of pain is associated with vascular response to tissue inflammation?

Throbbing (correct)

Radiating

Electrical

Sharp

How is irreversible pulpitis or trigeminal neuralgia pain typically described?

Sharp (correct)

Dull

Gnawing

Throbbing

Which term describes pain associated with pulpal and apical pathoses?

Pulsing Signup and view all the answers

How is the intensity of pain typically quantified?

On a scale of 0 to 10 Signup and view all the answers

What factor determines if dental pain is stimulated or spontaneous?

Affecting factors Signup and view all the answers

What can exacerbate dental pain?

Lying down or bending over Signup and view all the answers

What kind of diseases mimic endodontic pain?

Orofacial and nonodontogenic diseases Signup and view all the answers

What is a characteristic of nonodontogenic involvement?

Pain that travels and crosses the midline of the face Signup and view all the answers

Why may it be difficult for a patient to localize pain if the inflammation has not reached the periodontal ligament (PDL)?

The PDL contains sensory fibers that transmit only pain, not location Signup and view all the answers

When is it easier for a patient to identify the source of the pain?

When the inflammatory process extends beyond the apex Signup and view all the answers

What type of sensory fibers does the PDL contain?

Sensory fibers for proprioception Signup and view all the answers

Why can orofacial diseases mimic endodontic pain?

Due to misperception of sensory information by the trigeminal nerve Signup and view all the answers

What type of pain may be associated with nonodontogenic involvement?

Pain that surfaces with increasing mental stress Signup and view all the answers

What is the only systemic contraindication to endodontic therapy?

Uncontrolled diabetes Signup and view all the answers

What are the 5 basic directions of questioning used to understand the chief complaint?

Localization, commencement, intensity, provocation/attenuation, duration Signup and view all the answers

What is the purpose of intraoral diagnostic tests in endodontic exams?

To help define the pain by evoking reproducible symptoms and provide an assessment of normal responses for comparison Signup and view all the answers

Why should several adjacent, opposing, and contra-lateral teeth be tested before the tooth in question during an endodontic exam?

To establish the patient's normal range of response for comparison with abnormal responses Signup and view all the answers

What is the purpose of asking the patient to point to the tooth that hurts or swells during triage of a patient with pain?

To verify the location of symptoms as perceived by the patient Signup and view all the answers

Why is orofacial pain considered as a clinical manifestation of various diseases involving the head and neck region?

Because it can indicate different diseases involving the head and neck region Signup and view all the answers

What type of medical history enables a clinician to determine the need for a medical consultation or premedication of a patient?

"o The patient’s medical history Signup and view all the answers