Description:

PRL0501 - Path EX (Pulp exposure anticipated) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0BB00EFC-C814-6C5D-E044-0003BA3F9857

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https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0BB00EFC-C814-6C5D-E044-0003BA3F9857

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  1. 12/18/14
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December 18, 2014

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Creative Commons BY-NC 3.0 Legacy
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Dental Caries null Treatment - PRL0501 - Path EX (Pulp exposure anticipated) - 2445308v1.0

Patient Edwards is a 25 year-old male w/ a visible cavitation into dentin in the central fossa of tooth #30 (right mandibular first molar according to the ADA coding system). Overall Patient Edwards has just two enamel lesions on smooth surfaces ...

Deep Caries Patient Scenario
Path Ne (no Pulp Exposure Anticipated)
[Patient Edwards is a 25 year-old male... ] Upon opening the tooth and during the excavation of the caries you realize that the lesion is deeper than anticipated and may involve the mesial buccal pulp horn. You would usually (NE1)
Path Ne-a -- Remove All Decay
You continue to remove the caries and have hard dentin remaining but the preparation is close to the pulp. You would usually (NE-A1)
After use of an antimicrobial solution you would usually (NE-A1-2)
Upon caries removal and the treatment selected in EX-A1 you would usually (NE-A2)
Given the above sequence of treatment how often do you feel this leads to transient (less than one week duration) post-operative hypersensitivity (NE-A3)
Given the above sequence of treatment how often in your experience in your practice will the patient over the next 3-5 years require endodontic treatment for this tooth (EX-A4)
You are attempting to remove all the decay and just as you are finishing the pulp horn starts to bleed. You are able to control the bleeding. You would usually (EX-A5)
If you would place a direct pulp cap for the above situation (with the bleeding controlled) the procedure would usually (EX-A6)
After use of an antimicrobial solution you would then (EX-A6-2)
Given the above sequence of treatment with a direct pulp capping procedure how often in your experience in your practice will the patient over the next 3-5 years require endodontic treatment for this tooth (EX-A7)
If the answer to EX-A5 was an endodontic outcome, how often in your experience in your practice will the patient over the next 3-5 years require endodontic retreatment for this tooth (EX-A8)
In the EX1 question of the survey would your response have been different if the age of the patient was 15 (NE-C2-A)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the age of the patient was 50 (NE-C2-B)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the age of the patient was 70 (NE-C2-C)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the tooth involved was a premolar (NE-C2-D)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the lesion was visible at the margin of an existing Class I composite restoration and verified by the radiograph to extend beneath the restoration (NE-C2-E)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the tooth was vital with no lingering pain on testing (NE-C2-F)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the patient had a large number of new lesions on radiographic examination, (# 30 being the most advanced) (NE-C2-G)
The path you would choose is (If yes,)
Ne-b Path--do Not Remove All Decay
You are near the pulp horn in tooth #30 and caries remains that is still soft and moist in appearance. In this instance you would usually (NE-B1)
The indirect pulp capping procedure for the soft moist caries you would usually (NE-B2)
After use of an antimicrobial solution you would usually (NE-B2-2)
Upon caries partial removal and the above indirect pulp capping procedure your usual treatment would be to (NE-B3)
Given the above sequence of treatment how often do you feel this leads to transient (less than one week duration) post-operative hypersensitivity (NE-B4)
Given the above sequence of treatment how often in your experience in your practice will the patient over the next 3-5 years require endodontic treatment for this tooth (NE-B5)
You are removing caries near the mesial-buccal pulp horn in tooth # 30 and some slightly soft and stained caries remains. In this instance you proceed with an indirect pulp capping procedure where you usually (NE-B6)
After use of an antimicrobial solution you would usually (NE-B6-2)
Upon caries partial removal and the above indirect pulp capping procedure your treatment would be to: (NE-B7)
Given the above sequence of treatment how often do you feel this leads to transient (less than one week duration) post-operative hypersensitivity (NE-B8)
Given the above sequence of treatment how often in your experience in your practice will the patient over the next 3-5 years require endodontic treatment for this tooth (NE-B9)
In the EX1 question of the survey would your response have been different if the age of the patient was 15 (NE-C2-A)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the age of the patient was 50 (NE-C2-B)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the age of the patient was 70 (NE-C2-C)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the tooth involved was a premolar (NE-C2-D)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the lesion was visible at the margin of an existing Class I composite restoration and verified by the radiograph to extend beneath the restoration (NE-C2-E)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the tooth was vital with no lingering pain on testing (NE-C2-F)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the patient had a large number of new lesions on radiographic examination, (# 30 being the most advanced) (NE-C2-G)
The path you would choose is (If yes,)
Path Ne-c -- Refer For Endodontic Treatment
Given the referral for endodontic treatment how often in your experience in your practice will the patient over the next 3-5 years require endodontic retreatment for this tooth
In the EX1 question of the survey would your response have been different if the age of the patient was 15 (NE-C2-A)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the age of the patient was 50 (NE-C2-B)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the age of the patient was 70 (NE-C2-C)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the tooth involved was a premolar (NE-C2-D)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the lesion was visible at the margin of an existing Class I composite restoration and verified by the radiograph to extend beneath the restoration (NE-C2-E)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the tooth was vital with no lingering pain on testing (NE-C2-F)
The path you would choose is (If yes,)
In the EX1 question of the survey would your response have been different if the patient had a large number of new lesions on radiographic examination, (# 30 being the most advanced) (NE-C2-G)
The path you would choose is (If yes,)

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