Transcription of ENDODONTICS
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ENDODONTICS
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).
Reversible Pulpitis is based upon subjective and objective findings indicating that the inflammation should resolve and the pulp return to normal following appropriate management of the etiology. Discomfort is experienced when a stimulus such as cold or sweet is applied and goes away within a couple of seconds following the removal of the stimulus.
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