Clinical diagnosis of pulpally involved teeth
- PDF / 966,875 Bytes
- 14 Pages / 439.37 x 666.142 pts Page_size
- 7 Downloads / 203 Views
Clinical diagnosis of pulpally involved teeth Josanne O’Dell1 · Petra Wilder‑Smith2 Received: 31 July 2020 / Accepted: 25 August 2020 © Springer Nature Switzerland AG 2020
Abstract Endodontics is the art of saving teeth by the prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. To ensure the highest probability of success, it is critical that an accurate diagnosis be made prior to treatment. A systematic process incorporating the information provided by the patient, as well as appropriate diagnostic tests performed by the clinician, combined with the knowledge and experience of the dental practitioner will result in a quick and accurate diagnosis. Only then can a treatment plan best suited to the individual be presented. This article will review the materials and instruments required to perform diagnostic tests for establishing a baseline to an accurate and complete diagnosis. Keywords Endodontics · Diagnostic tests · Dental pain · Endodontic treatment plan
Quick reference/description Establishing an accurate diagnosis is critical for the development of an efficient treatment plan. An accurate diagnosis can be achieved only after reviewing the patient’s chief complaint, medical and dental history along with a thorough clinical examination including various diagnostic tests.
Symptoms • Toothache • Intraoral or extraoral swelling • Sinus tract * Josanne O’Dell [email protected] 1
Department of Endodontics, University of Tennessee Health Science Center, 875 Union Avenue, Memphis, TN 38163, USA
2
Beckman Laser Institute, School of Medicine, University of CA, 1002 Health Sciences Road, Irvine, CA 92612, USA
13
Vol.:(0123456789)
20
Page 2 of 14
Clinical Dentistry Reviewed
(2020) 4:20
• Tooth mobility
Clinical examination To establish an accurate endodontic diagnosis, the clinician should obtain relevant information from the patient and combine it with the various diagnostic tests. Obtaining a detailed medical and dental history is the primary step in clinical examination. A thorough review of the patient’s chief complaint is followed by a comprehensive patient evaluation and diagnostic tests that include: • Patient examination
– General physical examination – Extraoral and intraoral examination • Determination of pulp status • Periodontal examination (mobility and periodontal probing) • Mechanical diagnostic tests
– Palpation – Percussion – Transillumination – Bite test – Test cavity – Isolated anesthesia • Sensitivity tests
– Electric pulp testing – Thermal tests (cold and heat tests) For an accurate diagnosis, all tests should be performed on the suspect tooth, and the adjacent and contralateral tooth to achieve a comparative result.
Materials/instruments • • • • • • • • • • •
Mouth mirror Perio-probe Cotton tip applicator Fiberoptic transillumination device (Microlux™ AdDent, Danbury, CT) Rubber dam Methylene blue dye Cotton roll Orangewood stick Tooth Slooth® (Professional Results, Laguna Niguel, CA) Small round bur Vitality Scanner™ (
Data Loading...
