Dentistry today · 2004
Endodontic diagnosis. Mystery or mastery?
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
West John D
Аннотация
UNLABELLED: Review of 6 clinical distinctions: (1) Symptom: "anything under the sun."
DIAGNOSIS: pulp exposure. Duplicate: clinical or radiographic pulp exposure evidence.
TREATMENT: endodontics or pulp cap under strict protocol conditions. (2) Symptom: "cold."
DIAGNOSIS: hyperemia. Duplicate: ice.
TREATMENT: pulp protection or endodontics. (3) Symptom: "heat."
DIAGNOSIS: pulpitis. Duplicate: heat.
TREATMENT: pulpotomy for multirooted teeth or pulpectomy for single-rooted teeth. Schedule endodontic completion. (4) Symptom: "I recently had a toothache and now it is gone."
DIAGNOSIS: necrosis. Duplicate: Electric Pulp Test and ice are negative.
TREATMENT: endodontics. (5) Symptom: "I had a toothache awhile back and now it is gone."
DIAGNOSIS: LEO. Duplicate: Electric Pulp Test, ice, and test cavity are negative.
TREATMENT: endodontics. (6) Symptom: "It really hurts to touch my tooth."
DIAGNOSIS: percussion. Duplicate: may or may not have a LEO and may or may not have cellulitis.
TREATMENT: reduce occlusion, access cavity, water chew, and schedule to finish endodontics. If these tests are carefully performed, then they are objective and the doctor does not have to be in a subjective situation. A newfound sense of endodontic diagnostic mastery is experienced. Perhaps the best way to summarize the simplicity of this clinical diagnostic scheme is to quote Sherlock Holmes: "Nothing is more deceptive than the obvious."
DIAGNOSIS: pulp exposure. Duplicate: clinical or radiographic pulp exposure evidence.
TREATMENT: endodontics or pulp cap under strict protocol conditions. (2) Symptom: "cold."
DIAGNOSIS: hyperemia. Duplicate: ice.
TREATMENT: pulp protection or endodontics. (3) Symptom: "heat."
DIAGNOSIS: pulpitis. Duplicate: heat.
TREATMENT: pulpotomy for multirooted teeth or pulpectomy for single-rooted teeth. Schedule endodontic completion. (4) Symptom: "I recently had a toothache and now it is gone."
DIAGNOSIS: necrosis. Duplicate: Electric Pulp Test and ice are negative.
TREATMENT: endodontics. (5) Symptom: "I had a toothache awhile back and now it is gone."
DIAGNOSIS: LEO. Duplicate: Electric Pulp Test, ice, and test cavity are negative.
TREATMENT: endodontics. (6) Symptom: "It really hurts to touch my tooth."
DIAGNOSIS: percussion. Duplicate: may or may not have a LEO and may or may not have cellulitis.
TREATMENT: reduce occlusion, access cavity, water chew, and schedule to finish endodontics. If these tests are carefully performed, then they are objective and the doctor does not have to be in a subjective situation. A newfound sense of endodontic diagnostic mastery is experienced. Perhaps the best way to summarize the simplicity of this clinical diagnostic scheme is to quote Sherlock Holmes: "Nothing is more deceptive than the obvious."