Hi, guys.
This week, I am trying to study/finish endo section.
I have gone thru Mosby's review couple of times but I wasn't able to answer any of the diagnosis and treatment planning questions I found in dental deck/released exams.
For example, if a question gives us a pt with age, what happened to the tooth, vitality...etc and tell me what I should do with options such as pulpotomy, pulpectomy, root canal, don't do anything...etc. I don't know how to approach this type of questions
Here are some examples and I would appreciate it if you can explain how you approached to come up with answers.
1. 4 mandibular incisors were traumatized 3 yrs ago. x ray shows bone rarefaction i the region of the apices of the incisors.
Answer = test the pulp vitality and perform RCT only in those that don't respond to pulp testing.
2. Pt has severe, throrrinb pain, aggrevated by heat, biting, and touching.
answer = RCT
3. permanent tooth crown got fractured, creating 1mm pulp exposure for 30 min
answer = direct pulp capping with calcium hydroxide.
4. 4 yr old w/ frequent spontaneous pain in primary mandibular 2nd molar. Necrotic pulp
answer = pulpectomy
5. 5 yr old child has a carious lesion in her primary mandibular 2nd molar. No mobility but small draining sinus tract adjacent to the tooth
answer = pulpectomy
6. 8 year old has exposed vital but inflamed coronal pulp in #14
answer = pulpotomy
7. 7 year old patient has fractured #8, 3 hrs ago, 2mm exposure of a bleeding pulp.
answer = pulpotomy w/ calcium hydroxide.
8. 6 yr old pt, tx choice for necrotic pulp on permanent first molar
answer = apexification
9. 34 yr old black woman. Asymptomatic. No decay or destruction. Slight perio disease. Periapical radioluencies on two mandibular central incisors. positive pulptal test.
answer = no treatment necessary at this time.
10. A patient experienced a blow to the mouth. Horizontal mid-root fracture of a maxillary central incisor. No mobility. Asymtomatic. negative pulp test. No radiographic lesion.
answer = render no treatment at this time and periodically recheck clinically and radiographically.
Thanks in advance.