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Colleagues Excellence
Colleagues for ExcellenceFall 2013 Endodontic DiagnosisENDODONTICSC over artwork: Rusty Jones, MediVisuals, for the Dental Professional Community by the American Association of EndodontistsENDODONTICS: Colleagues for Excellence2 HExamination procedures required to make an endodontic diagnosis (8)Medical/dental historyPast/recent treatment, drugsChief complaint (if any)How long, symptoms, duration of pain, location, onset, stimuli, relief, referred, medicationsClinical examFacial symmetry, sinus tract, soft tissue, periodontal status (probing, mobility), caries, restorations (defective, newly placed?)Clinical testing: pulp testsCold, electric pulp test, heat periapical testsPercussion, palpation, Tooth Slooth (biting)Radiographic analysisNew periapicals (at least 2), bitewing, cone beam-computed tomographyAdditional testsTransillumination, selective anesthesia, test cavityistorically, there have been a variety of diagnostic classification systems advocated for determining endodontic disease (1).
ENDODONTICS: Colleagues for Excellence 4 Condensing Osteitis is a diffuse radiopaque lesion representing a localized bony reaction to a low-grade inlammatory stimulus usually seen at the apex of the tooth. Diagnostic Case Examples Fig. 1. Mandibular right irst molar had been hypersensitive to cold and sweets over the
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