CHEM MISC PART 2 WITH PERFECT
QUESTIONS AND ANSWERS
QUESTION: Prolonged, unstimulated night pain suggests which of the
,following conditions ofthe
pulp?
A. Pulp necrosis
B. Mild hyperemia
C. Reversible pulpitis
D. No specific condition
QUESTION: Chronic periradicular abscess indicates: necrotic pulp
QUESTION: X-ray of PA R/L of a primary teeth: Normal R/L because perm
tooth is erupting
underneath
QUESTION: Little girl had ALL, had radiolucency in furcation of primary 2nd
molar. What isthe treatment?
• Extraction
• Pulpotomy
• Pulpectomy
A- should be done before radiation therapy.because
the contra indications of pulpotomy are : Contraindications for Primary
Tooth Pulpectomy
• 1. Teeth with nonrestorable crowns,
• 2. Periradicular involvement extending to the permanent tooth bud,
• 3. Pathologic resorption of at least one-third of the root with a fistulous
sinus tract,
• 4. Excessive internal resorption,
• 5. Extensive pulp floor opening into the bifurcation,
• 6. Systemic illness such: as congenital or rheumatic heart disease,
hepatitis, leukemia, andchildren on long-term corticosteroid therapy, or
those who are immunocompromised,
• 7. Primary teeth with underlying dentigerous or follicular cysts.
QUESTION: primary tooth got necrosis, and the inflammation went down
through furcation and affects permanent tooth. What is it gonna cause to
permanent tooth? Can disturb ameloblastic layer of permenant successor or
spread infection
QUESTION: which teeth do you perform pulp eval on?
b. tooth only
c. tooth and neighboring teeth
d. tooth, neighboring teeth, contralateral tooth-ans
,e.tooth, neighboring teeth, opposing tooth
QUESTION: Is an apical radiolucency present for a long time with no
symptoms and no sinus tract associated with necrotic pulp or asymptomatic
apical periodontitis? Asymp chronic periodontits
QUESTION: You have a tooth, no pulp, but periapical radiolucency, you do
access and find no canal, what do you do? - I said don’t try to be a hero, refer to
an endodontist
QUESTION (DAY 2): A molar is super-erupted, but has irreversible pulpitis,
what do you do? – RCT and Crown (other choices were EXT, just do crown –
this was tricky because to answer the question, you have to look at the patient
dental chart and findings
QUESTION: 5yrs old patient, he fell down 2 months ago, and hit his #E when he
fell down, the tooth is now discolored, what do you suspect? – Necrotic pulp
QUESTION: Same patient as above, there is a red swollen lesion on the
gingival of tooth #E,what is most likely be? – Sinus tract (other choices,
periapical cyst, periapical granuloma, etc) QUESTION: Same kid from above,
What do you recommend for this tooth? – EXT!
QUESTION: What does radiolucency at furcation of primary M1 in 5yo
usually indicate:erupting permanent PM1, necrotic pulp, normal anatomy
a. Necrotic pulp – it is in a 5yo so man PM1 shouldn’t be causing
resorption yet
QUESTION (DAY 2): A case of a patient with tooth that has sensitivity that
lingers with thermaltest, and positive to percussion, what does the patient have? –
Irreversible pulpitis with acute periapical abcess (other choices were Irreversible
puplitis with no acute peripical abcess, and 2other choice with reversible pulpitis
in them).
QUESTION: Radiolucency in furcation of primary tooth? Necrotic, extract
QUESTION: In a primary tooth apical infection the first radigrapoh sign is
where?- in the furcation.
, QUESTION: Most common medication for pulpectomy/pulpotomy?
FOROMCRESOL QUESTION: calcium hydroxide is contraindicated in
pulpotomy in a child because it causesirritation leading to resorption in primary
teeth
QUESTION: 5.38 picture: know when to extract
If it’s a primary 1st with furcation
involvement: EXTIf it's a primary 2nd,
furcation, but restorable: PE
If its any other primary tooth no furcation: PO
QUESTION: The best method to test newly erupted primary teeth –
cold testQUESTION: Which is incorrect? Do EPT for traumatic tooth
QUESTION: Most common medication for pulpectomy/pulpotomy?
formacresollquestion:least reliable test on primary teeth?swelling
pulp testing
spontaneous
pain internal
resorption
• Electric pulp test(least reliabe)
• Percussion (MOST RELIABLE)
QUESTION: If you have pain, what would be the hardest to anesthetize?
a. Irreversible pulpitis and maxillary
b. Irreversible pulpitis and mandibular
c. Necrotic pulp and maxillary
d. Necrotic pulp and mandibular
QUESTIONS AND ANSWERS
QUESTION: Prolonged, unstimulated night pain suggests which of the
,following conditions ofthe
pulp?
A. Pulp necrosis
B. Mild hyperemia
C. Reversible pulpitis
D. No specific condition
QUESTION: Chronic periradicular abscess indicates: necrotic pulp
QUESTION: X-ray of PA R/L of a primary teeth: Normal R/L because perm
tooth is erupting
underneath
QUESTION: Little girl had ALL, had radiolucency in furcation of primary 2nd
molar. What isthe treatment?
• Extraction
• Pulpotomy
• Pulpectomy
A- should be done before radiation therapy.because
the contra indications of pulpotomy are : Contraindications for Primary
Tooth Pulpectomy
• 1. Teeth with nonrestorable crowns,
• 2. Periradicular involvement extending to the permanent tooth bud,
• 3. Pathologic resorption of at least one-third of the root with a fistulous
sinus tract,
• 4. Excessive internal resorption,
• 5. Extensive pulp floor opening into the bifurcation,
• 6. Systemic illness such: as congenital or rheumatic heart disease,
hepatitis, leukemia, andchildren on long-term corticosteroid therapy, or
those who are immunocompromised,
• 7. Primary teeth with underlying dentigerous or follicular cysts.
QUESTION: primary tooth got necrosis, and the inflammation went down
through furcation and affects permanent tooth. What is it gonna cause to
permanent tooth? Can disturb ameloblastic layer of permenant successor or
spread infection
QUESTION: which teeth do you perform pulp eval on?
b. tooth only
c. tooth and neighboring teeth
d. tooth, neighboring teeth, contralateral tooth-ans
,e.tooth, neighboring teeth, opposing tooth
QUESTION: Is an apical radiolucency present for a long time with no
symptoms and no sinus tract associated with necrotic pulp or asymptomatic
apical periodontitis? Asymp chronic periodontits
QUESTION: You have a tooth, no pulp, but periapical radiolucency, you do
access and find no canal, what do you do? - I said don’t try to be a hero, refer to
an endodontist
QUESTION (DAY 2): A molar is super-erupted, but has irreversible pulpitis,
what do you do? – RCT and Crown (other choices were EXT, just do crown –
this was tricky because to answer the question, you have to look at the patient
dental chart and findings
QUESTION: 5yrs old patient, he fell down 2 months ago, and hit his #E when he
fell down, the tooth is now discolored, what do you suspect? – Necrotic pulp
QUESTION: Same patient as above, there is a red swollen lesion on the
gingival of tooth #E,what is most likely be? – Sinus tract (other choices,
periapical cyst, periapical granuloma, etc) QUESTION: Same kid from above,
What do you recommend for this tooth? – EXT!
QUESTION: What does radiolucency at furcation of primary M1 in 5yo
usually indicate:erupting permanent PM1, necrotic pulp, normal anatomy
a. Necrotic pulp – it is in a 5yo so man PM1 shouldn’t be causing
resorption yet
QUESTION (DAY 2): A case of a patient with tooth that has sensitivity that
lingers with thermaltest, and positive to percussion, what does the patient have? –
Irreversible pulpitis with acute periapical abcess (other choices were Irreversible
puplitis with no acute peripical abcess, and 2other choice with reversible pulpitis
in them).
QUESTION: Radiolucency in furcation of primary tooth? Necrotic, extract
QUESTION: In a primary tooth apical infection the first radigrapoh sign is
where?- in the furcation.
, QUESTION: Most common medication for pulpectomy/pulpotomy?
FOROMCRESOL QUESTION: calcium hydroxide is contraindicated in
pulpotomy in a child because it causesirritation leading to resorption in primary
teeth
QUESTION: 5.38 picture: know when to extract
If it’s a primary 1st with furcation
involvement: EXTIf it's a primary 2nd,
furcation, but restorable: PE
If its any other primary tooth no furcation: PO
QUESTION: The best method to test newly erupted primary teeth –
cold testQUESTION: Which is incorrect? Do EPT for traumatic tooth
QUESTION: Most common medication for pulpectomy/pulpotomy?
formacresollquestion:least reliable test on primary teeth?swelling
pulp testing
spontaneous
pain internal
resorption
• Electric pulp test(least reliabe)
• Percussion (MOST RELIABLE)
QUESTION: If you have pain, what would be the hardest to anesthetize?
a. Irreversible pulpitis and maxillary
b. Irreversible pulpitis and mandibular
c. Necrotic pulp and maxillary
d. Necrotic pulp and mandibular
