graded A+ 2025-2026 already passed
1. Key points in hx
Pain hx
and clinical
exam to come to
Clinical exam: pathology - caries, TSL,
an endo
diagnosis?
fracture TTP?
Swelling or
sinus TTpalp
Pocketing
In occlusion
Sensibility testing
Radiographs - pathology, bone levels, fracture
2. ENDO DIAGNO- Split into 3 sections
SIS - Coronal diagnosis - caries, fracture, TSL, cracks
- Pulpal diagnosis
- PA diagnosis
... bring together for a complete diagnosis.
3. SDCEP Classifi-
cation of Caries
4. ICDAS Classifi- Issue: does not differentiate between enamel
cation of Caries and dentine behaviour
5.
1/
49
, AOH SCR Endo & Perio (TTT) questions with complete solutions
graded A+ 2025-2026 already passed
PULPAL DIAG- Exposed dentine tubules causing pulpal
NOSIS - Ameri- hyperalgesia
can Association
of Endodontics Aetiology:
- TSL
Dentine Hyper- - Internal bleaching
sensitivity - Gingival recession
Clinical presentation:
- Sharp pain with cold
- Lasts no longer than a few seconds after
stimulus re- moved
- Never spontaneous
Management:
- Manage aetiology
- F- varnish
- OHI and diet
-Desensitising agents
6. PULPAL DIAG-
NOSIS - Ameri- Inflammation of the vital pulp that returns to
can Association normal with the management of the aetiology
of Endodontics
Aetiology:
Reversible - Caries
pulpi- tis - TSL
- Trauma/ fractures
Clinical presentation:
- Sharp pain with cold, sweet or hot
- < few seconds after stimulus removed
- Never spontaneous
Management:
- Restorations (direct or indirect) to manage
7. PULPAL DIAG- aetiology
NOSIS - Ameri-
can Association Inflammation of a vital pulp that is incapable of
of Endodontics healing. (Can be asymptomatic)
2/
49
, AOH SCR Endo & Perio (TTT) questions with complete solutions
graded A+ 2025-2026 already passed
Aetiology:
3/
49
, AOH SCR Endo & Perio (TTT) questions with complete solutions
graded A+ 2025-2026 already passed
- Caries
Symptomatic Ir- - TSL
reversible - Trauma/ fractures
Pulpi- tis
Clinical presentation:
- Dull aching pain with hot or cold
- Lasts for prolonged period after stimulus is
removed
- May be spontaenous
- Postural changes make it worse
- May keep patient awake at night
- Painkillers may be ineffective
- Pain may be referred
Management:
- RCT
- XLA
8. Possible
PERI- APICAL Symptomatic Apical
DIAG- NOSES
- AAE Periodontitis Asymptomatic
apical periodontitis Acute apical
abscess
9. AAE - sympto- Chronic apical abscess
matic apical
peri- odontitis Clinical presentation:
- Pain on biting (TTP+)
- Easy to localise
Radiographic appearance:
- +/- widening of the PDL
10. Difference be- - +/- apical radiolucency
tween symp-
tomatic irre- TTP: SAP is +ve, SIP is -
versible pulpi-
tis and sympto- ve
4/
49