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Diagnosis-Script-6.pdf

Diagnosis-Script-6.pdf

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Published by Eman Nazzal
Diagnosis-Script-6.pdf
Diagnosis-Script-6.pdf

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Published by: Eman Nazzal on Oct 26, 2013
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12/04/2013

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D
IAGNOSTIC
T
ESTS
2
 
Last time we talked about diagnostic tests and we talked about vitality testincluding (electric pulp test, heat test, cold test) and today we will continue talkingabout other diagnostic tests.1) Percussion test2) Mobility test3) Calibrated probe4) Radiograph5) Palpation6) Needle aspiration7) Transillumination8) Detection of caries
 
You should notice that the topic of the lecture does not correlate to what we are
doing in the clinic because we don’t have all the instruments
in the teachingcenter, but the reason to mention it is just to know that they are in the market.
 
You will do “vitality test“ and “radiographic test” to diagnose and reach
treatment planning.
 
Let’s start (slide 2):
 
1--> Percussion test
 
عرقلب
 
صحفلا
)
)
 
At which clinic we do this test?
We do this test in the “ITU, perio, surgery, pedo“ for example in patient having
dentoalveolar trauma in order to manage where it is.>> So you tap the tooth carefully by the tip of the handle of the mirror or theblunt tip of the probe or another instrument, you evaluate the tone which is theresulting sound and you evaluate if there is any tenderness to percussion (patientreaction).
Tenderness to percussion happen when we have periodontal ligament injury.> NOTE : always remember that you should start with sound contralateral toothand test more than one tooth, EX: when we want to test the right mandibular firstmolar in the you need to start with the left mandibular first molar (sound tooth) ifit wasn't sound, you test the molar next to it.
If the patient have periodontitis you should maintain a great caution because thepercussion creates severe tenderness(pain).
 
If the patient have “dento
-
alveolar trauma” specially in children, don’t use the
handle of the mirror or any instrument, use your finger gently (digital pressure) toevaluate the pain.

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