AAPD Handbook 5th Edition Chapter 7 Pulp Therapy in
Primary and Young Permanent Teeth UPDATED ACTUAL
Questions and CORRECT Answers
1) What are the findings of reversible pulpitis? 1) Transient tooth pain that is associated with thermal or chemical stimulus
2) T/F, a tooth with nocturnal or spontaneous tooth pain 2) False, can never have nocturnal or spontaneous pain and be considered
be reversible pulpitis if transient reversible pulpitis
What are the three key findings of irreversible pulpitis? 1) Spontaneous tooth pain
2) Nocturnal tooth pain
3) Constant or persistent thermal or chemical pain
1) T/F, there is good evidence for placing direct pulp caps 1) False
on primary teeth with a mechanical exposure of the pulp 2) Caries removal and indirect pulp cap, pulpotomy, and if heme cannot be
during caries removal controlled pulpectomy if key tooth or extraction
2) What are the treatment options for symptomatic deep 3) Pulpectomy if key tooth or extraction
caries reversible pulpitis?
3) What are the treatment options for symptomatic
irreversible pulpitis teeth?
Look at page 138 and review the clinical decision chart
for treating caries
What are the 2 purposes of vital pulp therapy in primary 1) Maintain vitality of tooth and to prevent pain and infection
teeth? 2) Allow for normal exfoliation and to prevent need for space maintainer
, For a protective base liner in a preparation in primary 1) Normal pulp with deep, complete caries excavation
teeth: 2) Avoid pulp exposure, seal and arrest deep decay, maintain tooth vitality,
1) What is the indication for it? promote healing and repair
2) What is the 4 objectives of placing the liner? 3) Calcium hydroxide or glass ionomer placed directly over dentin following
3) What are the general materials/technique for placing a complete deep caries removal
liner? 4) False, should have complete caries removal
4) T/F, you should place an indirect protective base liner
over incomplete caries removal preparation in primary
teeth
For indirect pulp treatment: 1) Normal pulp, asymptomatic with deep caries approximating pulp, clinically and
1) What are the indications for it? radiographically sound tooth
2) What are the 4 objectives for performing it? 2) Avoid pulp exposure, seal and arrest deep decay, maintain tooth vitality,
3) What are the general materials/technique for promote healing and repair
performing an indirect pulp cap? 3) Remove most affected carious dentin, leave caries over deepest portion of
4) What are the two most important criteria for ensuring lesion, clean periphery of lesion, place calcium hydroxide, zinc oxide, or glass
the success of an indirect pulp cap? ionomer over lesion to provide initial seal, restore appropriately to ensure seal
5) T/F, re-entry is not necessary for teeth that have had 4) Proper diagnosis and a good seal that can be ensured by placing glass
indirect pulp caps placed ionomer over calcium hydroxide over if used
5) True
Conditions favoring vital pulp therapy: Conditions favoring vital pulp therapy:
Deep carious lesion approximating pulp Radiograph that clearly displays tooth's support structure
Traumatic mechanical or carious pulp exposure Intact periodontal ligament space
Dependable diagnosis of reversible pulpitis Intact bone, absence of furcal or periapical radiolucency
Proper isolation with rubber dam or equivalent
Conditions favoring non-vital pulp therapy: Conditions favoring non-vital pulp therapy:
Diagnosis of irreversible pulpitis or pulp necrosis Restorable tooth that is desirable to maintain
Pulp exposure reveals hyperemic pulp tissue or pulp Radiograph that clearly displays tooth's support structure
necrosis
Minimal or no physiologic root resorption
Proper isolation with rubber dam or equivalent
Conditions favoring extraction:
Diagnosis of irreversible pulpitis or pulp necrosis with
advanced root resorption
Odontogenic infection resulting in compromised
systemic health
Odontogenic infection resulting in compromised
systemic health
Primary and Young Permanent Teeth UPDATED ACTUAL
Questions and CORRECT Answers
1) What are the findings of reversible pulpitis? 1) Transient tooth pain that is associated with thermal or chemical stimulus
2) T/F, a tooth with nocturnal or spontaneous tooth pain 2) False, can never have nocturnal or spontaneous pain and be considered
be reversible pulpitis if transient reversible pulpitis
What are the three key findings of irreversible pulpitis? 1) Spontaneous tooth pain
2) Nocturnal tooth pain
3) Constant or persistent thermal or chemical pain
1) T/F, there is good evidence for placing direct pulp caps 1) False
on primary teeth with a mechanical exposure of the pulp 2) Caries removal and indirect pulp cap, pulpotomy, and if heme cannot be
during caries removal controlled pulpectomy if key tooth or extraction
2) What are the treatment options for symptomatic deep 3) Pulpectomy if key tooth or extraction
caries reversible pulpitis?
3) What are the treatment options for symptomatic
irreversible pulpitis teeth?
Look at page 138 and review the clinical decision chart
for treating caries
What are the 2 purposes of vital pulp therapy in primary 1) Maintain vitality of tooth and to prevent pain and infection
teeth? 2) Allow for normal exfoliation and to prevent need for space maintainer
, For a protective base liner in a preparation in primary 1) Normal pulp with deep, complete caries excavation
teeth: 2) Avoid pulp exposure, seal and arrest deep decay, maintain tooth vitality,
1) What is the indication for it? promote healing and repair
2) What is the 4 objectives of placing the liner? 3) Calcium hydroxide or glass ionomer placed directly over dentin following
3) What are the general materials/technique for placing a complete deep caries removal
liner? 4) False, should have complete caries removal
4) T/F, you should place an indirect protective base liner
over incomplete caries removal preparation in primary
teeth
For indirect pulp treatment: 1) Normal pulp, asymptomatic with deep caries approximating pulp, clinically and
1) What are the indications for it? radiographically sound tooth
2) What are the 4 objectives for performing it? 2) Avoid pulp exposure, seal and arrest deep decay, maintain tooth vitality,
3) What are the general materials/technique for promote healing and repair
performing an indirect pulp cap? 3) Remove most affected carious dentin, leave caries over deepest portion of
4) What are the two most important criteria for ensuring lesion, clean periphery of lesion, place calcium hydroxide, zinc oxide, or glass
the success of an indirect pulp cap? ionomer over lesion to provide initial seal, restore appropriately to ensure seal
5) T/F, re-entry is not necessary for teeth that have had 4) Proper diagnosis and a good seal that can be ensured by placing glass
indirect pulp caps placed ionomer over calcium hydroxide over if used
5) True
Conditions favoring vital pulp therapy: Conditions favoring vital pulp therapy:
Deep carious lesion approximating pulp Radiograph that clearly displays tooth's support structure
Traumatic mechanical or carious pulp exposure Intact periodontal ligament space
Dependable diagnosis of reversible pulpitis Intact bone, absence of furcal or periapical radiolucency
Proper isolation with rubber dam or equivalent
Conditions favoring non-vital pulp therapy: Conditions favoring non-vital pulp therapy:
Diagnosis of irreversible pulpitis or pulp necrosis Restorable tooth that is desirable to maintain
Pulp exposure reveals hyperemic pulp tissue or pulp Radiograph that clearly displays tooth's support structure
necrosis
Minimal or no physiologic root resorption
Proper isolation with rubber dam or equivalent
Conditions favoring extraction:
Diagnosis of irreversible pulpitis or pulp necrosis with
advanced root resorption
Odontogenic infection resulting in compromised
systemic health
Odontogenic infection resulting in compromised
systemic health
