Q&A

How is RCT diagnosed?

How is RCT diagnosed?

In such cases, dental history and thermal testing are the primary tools for assessing pulpal status. Asymptomatic Irreversible Pulpitis is a clinical diagnosis based on subjective and objective findings indicating that the vital inffamed pulp is incapable of healing and that root canal treatment is indicated.

How is Periradicular periodontitis diagnosed?

A Clinician’s Guide to Clinical Endodontics Periradicular Diagnosis

  1. Cold Test, EPT, and/or Heat Test for Pulp Sensibility.
  2. Percussion Tests for Determining the Status of the Periodontal Ligament.
  3. Palpation of the Buccal and Lingual/Palatal Gingival Tissue of the Tooth.

How can you tell the difference between vital and necrotic pulp?

“Vital” (above the line) indicates that there are still nerves and blood supply to the pulp and although the inflammation may be acute, the noxious stimuli (bacteria, toxins, etc.) are still being contained. On the other hand, once the pulp becomes necrotic (below the line), infection has gained a foothold.

What are the signs and symptoms associated with symptomatic apical periodontitis acute apical periodontitis?

Pain, tenderness to biting pressure, percussion or palpation as well as swellings are typical clinical expres- sions of symptomatic apical periodontitis (Fig. 7.2a,b). The symptoms may vary from mild to severe.

How do you know if pulpitis is reversible?

If your pain occurs with temperature extremes but goes away quickly, you may have a reversible condition. But if the pain is intense, lingers after temperature changes, occurs spontaneously, or is referred to other teeth, making it hard to determine the exact location, you may have irreversible pulpitis.

How long does pulp inflammation last?

Sometimes infection develops (eg, periapical abscess, cellulitis, osteomyelitis). Pulpitis may be reversible or irreversible. In reversible pulpitis, the pulp is not necrotic, a cold or sweet stimulus causes pain that typically lasts 1 or 2 seconds, and repair requires only drilling and filling.

What happens if pulpitis is left untreated?

If left untreated, pulpitis can lead to a periapical abscess, otherwise known as a dental abscess, which is a localized infection in the bone or soft tissues. A person may notice a pocket of pus beside their tooth. Cellulitis may occur if the infection spreads to local tissue spaces and causes widespread swelling.

How do you know if decay reached the pulp?

Signs You Have Cavities (Tooth Decay Symptoms) In the case of a deeper cavity that has reached the pulp or nerve canals, you may notice a bad taste in your mouth. Severe spontaneous pain, pain to pressure, pain that wakes you up at night and pain to hot are often signs of an infected nerve.

What do you need to know about an endodontic diagnosis?

In order to render proper treatment, a complete endodontic diagnosis must include both a pulpal and a periapical diagnosis for each tooth evaluated. Examination and Diagnostic Procedures. Endodontic diagnosis is similar to a jigsaw puzzle—diagnosis cannot be made from a single isolated piece of information (4).

How are nonsurgical methods used to diagnose endometriosis?

Indeed, Soliman et al 18 reported diagnosing endometriosis by nonsurgical methods shortened the mean time from first consultation to diagnosis compared with surgical diagnosis. This shift, however, requires clinical diagnostic methodologies that accurately identify endometriosis.

Do you need a pulp test for an endodontic diagnosis?

Coupled with this are the limitations associated with current pulp testing modalities as well as clinical and radiographic examination techniques. In order to render proper treatment, a complete endodontic diagnosis must include both a pulpal and a periapical diagnosis for each tooth evaluated.

How is an endodontic diagnosis like a jigsaw puzzle?

In order to render proper treatment, a complete endodontic diagnosis must include both a pulpal and a periapical diagnosis for each tooth evaluated. Examination and Diagnostic Procedures Endodontic diagnosis is similar to a jigsaw puzzle—diagnosis cannot be made from a single isolated piece of information (4).