Art and science of diagnosis
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Art and science of diagnosis
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30.01.2013
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0.59 Mb.
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Art and science of diagnosis
Chief Complaint
Medical History
Gastrointestinal and renal
Dental History
Courtesy Dr. Ravi Koka, San Francisco, CA
History of Present Dental Problem
Dental History Interview
Examination and testing
Extraoral Examination
A, Canine space swelling of left side of face extending into and involving the left eye. B
Intraoral Examination
B, Note the initial scar associated with the extraoral drainage incision after parulis was drained and root canal therapy was pe
Soft Tissue Examination
Intraoral Swelling
A, A culture is obtained from the drainage from the extraoral sinus tract. B
Intraoral Sinus Tracts
Periodontal Examination
Pulp Tests
A, Carbon dioxide tank with apparatus attached to form solid CO2 stick/pencil. B
Laser Doppler Flowmetry
Pulse Oximetry
Special Tests
Test Cavity
Staining and Transillumination
Selective Anesthesia
Radiographic Examination and Interpretation
Intraoral Radiographs
Digital Radiography
Karl Keiser, DDS, MS, University of Texas Health Science Center at San Antonio
Root Fractures and Cracks
Crack Types
Vertical Root Fractures
A, This radiograph of a mandibular second premolar (with a gold inlay) reveals extensive periapical and periradicular bone loss,
Karl Keiser, DDS, MS, University of Texas Health Science Center at San Antonio
Crack Probing
Selective Sensitivity
Restorative Treatment
Multiple Sinus Tracts
Dental Operating Microscope
Surgical Exposure
A, This radiograph shows no evidence of a fracture. B
Transillumination and Dyes
Methylene blue
Cement Trail
A, Cantilever bridges can create oblique forces on an abutment tooth, especially if that tooth has endodontic treatment with a p
A, This mandibular second premolar is nonvital, with a restoration that is not significantly close to the pulp chamber. B
Halo-like Bone Loss
Isolated Bone Loss
Good Prognosis
Fair Prognosis
Poor Prognosis
A); the pulp tests nonvital. Without any transillumination a fracture cannot be detected (B)
A, A root fracture is not visible in the radiograph of this mandibular first premolar. B
Referred Pain
Clinical classification of pulpal and periapical diseases
Pulpal Disease
Normal Pulp
Reversible Pulpitis
Irreversible Pulpitis
Periapical Disease
Periradicular Periodontitis
Karl Keiser, DDS, MS; University of Texas Health Science Center at San Antonio
Periradicular Abscess
J Am Dent Assoc
Oral Surg Oral Med Oral Pathol
Dental Management of the Medically Compromised Patient
Oral Surg Oral Med Oral Pathol Oral Radiol Endodon
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