TP5DIP+-+Endodonti+laboration

Endodonti  – Laboration – 2/2 > > >
 * Ställa diagnos genom anamnes, kliniska fynd och röntgenbilder.
 * Man sonderar efter tandköttsfickor på många ställen – bennedbrytningen kan vara väldigt lokalt begränsad.
 * Fråga om typ av smärta – utlöses av terminska  stimuli (kyla – pulpit)? Dov, molande (C-fibrer, djupare i pulpa)? Skarp, distinkt (A delta fibrer)?

Senstest  innebär att man testar när pat <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">__känner__ <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> det, inte nödvändigtvis först när det gör ont för <span class="SpellingError SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">pat <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">! <span class="EOP SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">

<span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 14pt;">ELTEST > > > > > > >
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Pirrande känsla.
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">På 21.
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">Referenstanden blir då 11 <span class="SpellingError SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">brevid <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">.
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Testa även på granntänder.
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="SpellingError SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">Koronala <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> tredjedelen, vid pulpahornet (distalt/ <span class="SpellingError SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">mesialt <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">).
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Torrläggning med bläster – så saliven inte fortleder signalen
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Upprepa testet!
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;">

>

<span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 14pt;">KYLTEST > > > > > > > >
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Isande, stickande känsla.
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">På 14.
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Referenstand blir då kontralateral sida – 24.
 * <span style="font-family: Calibri,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Testa även på granntänder.
 * <span style="background-color: #ffffff; font-family: Calibri,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">För känsliga tänder använder man inte neddränkt bomullsrulle -> <span class="SpellingError SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">pat <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> får väldigt ont.
 * <span style="background-color: #ffffff; font-family: Calibri,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Kolla sensibilitet -> bomullsrulle funkar oftast.
 * <span class="TextRun SCX130472947" style="background-color: transparent; font-family: Calibri,sans-serif; font-size: 12pt;">Kolla pulpit -> bomullspellet bättre.
 * <span style="background-color: #ffffff; font-family: Calibri,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">Kraftig reaktion på kyla berättar mer om hur pulpan mår (djupare belägna <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">C-fibrer) än vad bara <span class="SpellingError SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">eltest <span class="NormalTextRun SCX130472947" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> gör ( <span class="TextRun SCX130472947" style="font-family: Calibri,sans-serif; font-size: 12pt;">mer ytliga A delta-fibrer). Kyla är därför ett bättre provokationstest än el.