Caries and Pulpal Diagnosis

1
Caries and Pulpal Diagnosis

• By
• LT Shellback
• CARAT 2007

2
Dental Caries

• Symptoms sensitive to hot/cold/sweets
• Signs
• A. chalky white spot on enamel
• B. dark stained cavity
• C. roughness on tooth
• D. cavity filled with food

3
Treatment

• Remove Debris
• Flush with warm H2o
• Isolate with cotton
• Dry
• Mix and Fill with Temp Cavity material
• RTC next day

4
Acute Pulpitis

• Symptoms
• - A. spontaneous, continuous pain
• - B. piercing pulsating pain
• - C. increased while lying down

5
Signs of Pulpitis

• Large carious lesion
• Blood oozing from pulp exposure
• Fractured Tooth
• Missing restoration

6
Treatment of Pulpitis

• Remove Debris
• Isolate with cotton
• Dry
• Pack with Eugenol
• Fill with Temp
• RTC next day
• ESSENTIALLY SAME AS TREATING A CAVITY.except
  you use Eugenol for PULPITIS

7
Periapical Abscess (think dead tooth)

• Symptoms
• A. throbbing constantly
• B. pain to chewing
• C. hurts while lying down
• D. bad taste in mouth
• E. gumboil
• F. Tooth feels longer
• G. Malaise or tender lymph nodes or both
• NOTE THE SYMPTOMS ARE THE SAME FOR PERIODONTAL
  ABSCESS!!!!!!!

8
SIGNS Treatment

• THE SAME AS PERIODONTAL ABSCESS..refer to other
  lecture
• Treatment
• A. x-ray
• B. Drain
• C. excavate caries
• D. warm saline rinse
• E. RTC to clinic

9
Things of importance

• Types of Fractures
• I fx of enamel only
• II fx of enamel and dentin
• III fx of enamel, dentin, pulp (remember type
  III will likely bleed)
• IV fx of enamel,dentin,pulp,root

10
Tooth Composition

• Enamel - 96 inorganic 3 organic 1 water
• Dentin - 70 inorganic 30 organic
• Cememtum 55 inorganic 45 organic
• TIP --- Just remember the biggest percentage is
  always inorganic
• And enamel is the hardest substance in the body

11
YES!! Finally..recurrent herpes

• But Doc, I just dont get itwhy I went to
  Thailand and I have these sores in my mouth now.
• Doc repliesWell did you see any

12
Stomatitis or Recurrent Herpes

• Symptoms
• - A. Painful swelling
• - B. Fever Blister
• - C. Pain when eating / drinking
• - D. Fever and headache

13
Stomatitis or Recurrent Herpes

• Signs
• A. Red swollen areas with blisters
• B. Blisters or craters with grayish white or
  yellow membrane

14
Treatment for the Recurrent Herp

• Follow instructions from dentist
• No smoking, hot food, alcohol
• Prescribe Acyclovir if 48 hours of outbreak (not
  on test)