Emergencies Test #2

Question 1

What constitues an emergency?

Answer 1

• Pain
• Swelling
• Inflammation
• Infection

Question 2

85 % of dental emergencies result from what?

Answer 2

-Pulpal or periapical disease

Question 3

What are endodontic emergencies?

Answer 3

• Traumatic injuries
• Caries
• Deep or defective restorations
• Previous endodontic failures
• Flare-ups between treatment visits

Question 4

What is the treatment for irreversible pulpitis with a normal periapex in an emergency?

Answer 4

• Removal of as much pulpal tissue as time allows (pulpectomy/pulpotomy) or clean and shape
• Place cotton pellet
• Relieve occlusion

Question 5

What type of tooth is extremely percussion sensitive?

Answer 5

• Irreversible pulpitis with symptomatic apical periodontitis
• Necrotic pulp with SAP (No swelling)

Question 6

What is the treatment for irreversible pulpitis with symptomatic apical periodontitis in an emergency?

Answer 6

• Complete pulpectomy or clean and shape
• Cotton/cavit
• Relieve occlusion

Question 7

What is the treatment for a necrotic pulp with SAP and no swelling in an emergency?

Answer 7

• Complete pulpectomy or clean and shape
• Establish drainage if possible
• Copious irrigation
• CaOH medicament if room after drying
• Cotton/cavit
• Relieve occlusion
• Antibiotics/pain management

Question 8

What is the treatment for necrotic pulp with a swelling and drainage?

Answer 8

• Complete pulpectomy or clean and shape (apical penetration)
• Copious irrigation
• CaOH after drying
• Cotton/cavit
• Relieve occlusion
• Antibiotics/Pain management

Question 9

What is the treatment for necrotic pulp with fluctuant swelling and no drainage?

Answer 9

• Complete pulpectomy or clean and shape (apical penetration)
• Copious irrigation
• CaOH after drying
• Mucosal I and D
• Cotton/cavit
• Antibiotics/Pain management

Question 10

What is the treatment for a necrotic pulp with diffuse swelling and drainage?

Answer 10

• Complete pulpectomy or clean and shape
• Copious irrigation
• CaOH after drying
• Cotton/cavit
• Antibiotics/Pain management

Question 11

What is the treatment of necrotic pulp with diffuse swelling and no drainage?

Answer 11

• Complete pulpectomy or clean and shape (apical patency)
• Copious irrigation
• CaOH after drying
• Cotton/Cavit
• Extra oral/intra oral drainage
• Antibiotics/Pain management

Question 12

What are the most common types of Drains?

Answer 12

• I (rubber dam) (Dr. Richards favorite)
• T (rubber dam)
• Christmas tree (Rubber Dam)
• Penrose