What’s Your Endodontic Know-How?

For Questions 1 & 2, use this information and radiographs for reference:

Patient #1: 34-year-old male patient who reported, “I had swelling last week, but now it’s gone.”

• Referred for tooth #3
• No pain or swelling at the time of evaluation
• Probings: WNL
• Palpation: WNL
• Percussion: WNL
• Bite: WNL
• Cold:
  #2: No response
  #3: WNL
  #4: WNL

What is your diagnosis for this patient?

What is your treatment plan for this patient?

For Questions 3 & 4, use this information and radiographs for reference:

Patient #2: 67-year-old male patient who reported, “I have no pain, but my dentist saw something on the x-ray.”

• • Probings: WNL
  • Palpation: WNL
  • Percussion: WNL
  • Bite: WNL
  • Cold: 
    #13-16: WNL

What is your diagnosis for this patient?

What is your treatment plan for this patient?

For Questions 5 & 6, use this information and radiographs for reference:

Patient #3: 53-year-old female patient who shared, “I have a bump on my gum.”

• Probings: 4-5mm, 9mm on mid-buccal
• Palpation: WNL
• Percussion: WNL
• Bite: WNL
• Cold:
  #31: No response
  #30: WNL
  #32: WNL

What is your diagnosis for this patient?

What is your treatment plan for this patient?

For Questions 7 & 8, use this information and radiographs for reference:

Patient #4: 64-year-old male patient who said, “I can’t chew on my tooth.”

• Probings: WNL
• Palpation: WNL
• Percussion: +++
• Bite: +
• Cold: No response
  The diagnosis for tooth #12 is Necrotic Pulp and Symptomatic Apical Periodontitis.

While instrumenting, it was hard for my hand file to get to working length and get to the apex. What endo hack can you do to get to the apex faster?

Unfortunately, once I started my obturation, I noticed my obturation was short. What is NOT a possible reason this happened?

Questions 9 and 10 do not pertain to specific tooth stories.

In a maxillary first molar, what’s the incidence of 4 canals?

In a mandibular second molar, how many canals should you expect to see?