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Тестування студентів 3 курсу.
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A 20-year-old male patient complains of spontaneous pain in the 24 tooth, which arose suddenly and persists for about 15 minutes. Objectively: the distal surface of the 24 tooth exhibits a deep carious cavity with overhanging walls. The cavity is filled with light softened dentin and communicates with the tooth cavity. The cold stimulus causes acute, slowly abating pain. Percussion causes no pain response. Select the best method of treatment:
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A 24-year-old female patient complains about hard tissues defect of the 21 tooth. Objectively: the 21 tooth is destroyed by 1/3 along the cutting edge, it is changed in color. X-ray picture shows that the root canal is filled to the top. It was decided to fabricate a plastic crown. Where should the crown edge be situated against the marginal gingiva?
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A 20-year-old man complains of spontaneous pain in the 24 tooth, which arose suddenly and persists for about 15 minutes. Objectively: the distal surface of the tooth exhibits a deep carious cavity with overhanging walls. The cavity is filled with light softened dentin and communicates with the tooth cavity. The cold stimulus causes acute, slowly abating pain. Percussion causes no pain response. Select the best method of treatment:
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A 38-year-old male patient complains of a carious cavity. He had experienced spontaneous dull pain in the tooth in question before. Objectively: the distal masticatory surface of the 37 tooth presents a deep cavity made of soft pigmented dentin. Percussion is painless. After removing the decay from the cavity, cold water has caused pain lasting for about a minute. X-ray picture shows the deformation of the periodontal gap in the region of the 37 root apices. What is the most likely diagnosis?
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A 22-year-old woman complains of pain caused by hot food and bursting sensation in the tooth. Half a year ago she presentedwith brief bouts of pain in the night, which over time increased in duration. Objectively: there is a large carious cavity in the 24 tooth, which opens to the dental cavity, deep probing is painful. Electric pulp test is 80 microamperes. What is the most likely diagnosis?
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A 37-year-old patient has symmetrical face; the mucosa in the area of the 12 tooth root apex projection is pale pink; palpation is painless; the tooth crown is destroyed by 1/3; percussion is painless. X-ray: the root canal of the 12 tooth is filled to the apex; granuloma 4 mm in diameter surrounds the root apex. Choose the method of surgical treatment:
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A 47-year-old man complains of persisting dull pain in his upper right jaw. Anamnesis states that the 13 tooth has been treated repeatedly to no effect. Objectively: oral mucosa in the area of the 13 and 14 teeth is hyperemic and painless on palpation. The crown of the 13 tooth is destroyed to the gingival margin. Percussion is sharply painful. What conduction anaesthesia should be applied to extract the 13 tooth?
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A 14-year-old child complains about acute spontaneous spasmodic pain in an upper jaw tooth on the right. The pain has been lasting for 3 days, it is throbbing, irradiating to the temple, getting worse at night. Objectively: surface of the 15 tooth exhibits a carious cavity within parapulpar dentine. Dentine is softened, of greyish colour. Probing of the whole cavity floor is painful, percussion of the 15 tooth is painless. What is the most likely diagnosis?
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A 22-year-old patient was undergoing treatment of the 25th tooth for deep acute caries. During preparation a dentist accidentally opened the horn of pulp. What method of treatment should be applied?
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A 44-year-old patient consulted a surgeon about constant acute pain in the upper jaw region on the left that is getting worse during teeth joining. The pain was noted 3 days ago. Objectively: the face is symmetrical, mouth opening is unlimited. The crown for the 26 tooth is half-destroyed. Probing of the carious cavity is painless. Percussion of the 26 tooth provokes acute pain. Mucous membrane of the alveolar process is edematic, hyperaemic at the level of the 26 tooth. The 26 tooth had been treated before. What is your provisional diagnosis?
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