Q1 |
Name of the dental school you graduated from or hope to graduate from (undergraduate students) |
Free answer |
Q2.1 |
Profession |
Undergraduate Students; General Dental Surgeons; Other |
Q2.2 |
Years of experience |
0 years (undergrad students); 1-5 years; 6-10 years; More than 10 years |
Q3.1 |
Number of patients you see per day |
1-5 patients; 6-10 patients; 11-20 patients; 21-30 patients; 31-40 patients; More than 40 patients |
Q3.2 |
Number of endodontic emergencies you attend per day |
0 (I don't treat endodontic emergencies); 1-3; 4-6; 7-9; 10-12; 13-15; More than 15 |
Q4.1 |
How often do you prescribe antibiotics for endodontic problems? |
For a limited number of patients; For a lot of patients; For all the patients; Never |
Q4.2 |
Under what endodontic conditions do you prescribe antibiotics? Please notice that you can select more than one option. |
Symptomatic reversible pulpitis; Symptomatic irreversible pulpitis; Symptomatic apical periodontitis; Chronic apical periodontitis; Acute apical abscess; Systemic complications (e. g., fever, malaise, lack of appetite); Never |
Q5.1 |
Are you aware of any consequences regarding the indiscriminate use of antibiotics? |
Yes; No |
Q5.2 |
If you answered yes to the previous question, can you write which consequences do you know? |
Free answer |
Q6 |
A 23-year-old female patient complains of localized pulsatile toothache related to element 14 and has been feeling feverish since yesterday. Clinical exam reveals no swelling. However, the buccal surface of element 14 is sensitive to palpation and percussion. Element 14 has a negative response in thermal and electrical pulp sensitivity tests. Radiographic exam of this tooth reveals a small apical radiolucency. The treatment plan was pulpectomy, which you started today. At the end of the clinical session, you will prescribe/advise in the postoperative period: |
No medication will be prescribed; Analgesic and/or anti-inflammatory (for a few days or when necessary); Antibiotics, for 3 to 5 days (with or without analgesics or anti-inflammatory drugs); Antibiotics, for 1-2 weeks (with or without analgesics or anti-inflammatory drugs) |
Q7 |
A 35-year-old female patient was unable to sleep for 3 nights, with constant and generalized pain in the right upper quadrant. Element 16 was endodontically treated 9 years ago. This tooth has an extensive carious lesion, grade II of tooth displacement and sensitivity to percussion. The radiographic exam indicates an endodontic filling with empty spaces and above the radiographic apex, presenting a thickening of the periodontal ligament. She wants to save the tooth and receive the root canal retreatment, however, the tooth is extremely painful to light touch. The most appropriate treatment to be performed today is: |
Advise analgesics and reschedule the canal retreatment after 1 week; Prescribe antibiotics and reschedule root canal retreatment after 1 week; Start canal retreatment and advise postoperative analgesics; Start canal retreatment and prescribe postoperative antibiotics |
Q8 |
A 58-year-old male patient visits a dental clinic for the first time for an annual checkup. On clinical examination, elements 47 and 46 had large infiltrated amalgam restorations and responded negatively to thermal and electrical tests. Radiographic exam reveals large apical lesions in both teeth. You have established the diagnosis and explained to the patient all possible treatment options. He opted for root canal treatment (primary endodontic treatment) on both teeth. The patient is able and healthy; however, in his anamnesis, a history of rheumatic fever for 28 years was reported. You will: |
Perform root canal treatments normally, without antibiotic prophylaxis; Prescribe prophylactic antibiotics just before the treatment appointment; Prescribe antibiotics after treatment (postoperatively); Prescribe antibiotics before and after the treatment appointment |
Q9 |
A fellow general dental surgeon asked you for your opinion on the case of a healthy 27-year-old male patient. The patient has an acute pain located on tooth 37, and the radiographic exam indicated deep caries reaching the pulp chamber, without apical radiographic changes. After the patient's consent, the colleague decided to perform a partial pulpotomy. However, after two attempts to block the left inferior alveolar nerve (2 tubes of 2% lidocaine, with adrenaline 1:100,000), the tooth was not anesthetized, although the patient's lips were numb. Among the alternatives presented below, you will advise him to: |
Continue the pulp extirpation treatment, regardless of the pain felt, asking the patient to bear the pain for a few minutes; Administer additional local anesthesia by different alternative techniques, such as intraligamental infiltration, intraosseous injection, intrapulpal injection, Gow-Gates; Postpone treatment and prescribe painkillers; Postpone treatment and prescribe antibiotics |
Q10 |
A 62-year-old uncontrolled diabetic patient shows light localized discomfort in tooth 13, and clinically it doesn't present mobility nor sensitivity to palpation. There is intraoral drainage of pus via fistula. The treatment plan was to perform root canal treatment. On this day, you will: |
Start root canal treatment and prescribe postoperative antibiotics; Start root canal treatment and refer the patient to his doctor for diabetes management before completing endodontic treatment; Postpone the treatment for now and prescribe painkillers. Also, refer the patient to his doctor and establish a connection with him to manage the diabetic condition before any dental treatment is undertaken; Postpone the treatment for now and prescribe antibiotics. Also, refer the patient to his doctor and establish a connection with him to manage the diabetic condition before any dental treatment is undertaken. |
Q11 |
A 25-year-old male patient complains of pain and swelling associated with deep caries in tooth 37. The clinical exam was performed with great difficulty, as the patient had difficulty opening his mouth. The thermal and electrical sensitivity tests had negative results. The periapical radiographic exam showed a thickening of the periodontal ligament. A diffuse redness is noted on the lingual surface related to the element 37, which is spreading to the floor of the mouth. Because of this condition, the patient does not feel comfortable to undergo any treatment today due to discomfort. You will: |
Prescribe analgesics and/or anti-inflammatories, and review the patient in 3-5 days; Prescribe analgesics and anti-inflammatories drugs and review the patient in 1-2 weeks; Prescribe antibiotics and see the patient in 3-5 days; Prescribe antibiotics and review the patient in 1-2 weeks; Refer the patient to a Hospital Emergency Service with or without prescription of analgesics and/or antibiotics |
Q12 |
A 44-year-old male patient was diagnosed with neutropenia as a result of leukemia 3 months ago. He noticed a nodule in his gums. On intraoral examination, the nodule appears at the bottom of the buccal, associated with tooth 11, with drainage of pus via fistula. Tooth 11 is decayed, not sensitive to palpation and percussion, and has grade II mobility, but does not have a probing depth of the periodontal pocket greater than 3.5 mm. In addition, it has a negative response to the thermal tests to cold and hot. After establishing the diagnosis and discussing treatment options with the patient, he prefers to save the tooth and undergo root canal treatment. You will treat the root canal and: |
Advise an analgesic drug, which should only be used if he experiences postoperative pain; Advise an analgesic drug, and advise its use regardless of postoperative pain; Prescribe an antibiotic, and advise its use only if he experiences postoperative pain; Prescribe an antibiotic, and advise its use, regardless of postoperative pain |
Q13 |
A 27-year-old woman, pregnant in the third trimester of pregnancy, presents fluctuating buccal edema located in association with tooth 22. The tooth is restored with composite resin; however, the restoration is unsatisfactory and secondary tooth decay is presented. After establishing diagnosis and discussing treatment options with the patient, she wants to keep the tooth and have the root canal treatment done for tooth 22. You will: |
Start root canal treatment and prescribe antibiotics as postoperative medication; Start root canal treatment without postoperative antibiotic prescription; Start root canal treatment and perform an intraoral incision to drain the edema, with postoperative antibiotic prescription; Start root canal treatment and perform an intraoral incision to drain the swelling, without postoperative antibiotic prescription. |
Q14 |
A 17-year-old male patient presents a feeling of malaise for 4 days due to a pain located in tooth 31. He has a history of a complicated fracture of the dental crown during a football game 1 year and a half ago. Previously, this tooth was treated with direct pulp capping and composite resin restoration. However, nowadays the tooth has a negative response to the cold thermal test, but it has a positive response to the hot test. After establishing the diagnosis and discussing treatment options with the patient, the accepted treatment plan was to attempt root canal treatment. Today you will: |
Start root canal treatment and advise postoperative analgesics; Start root canal treatment and prescribe postoperative antibiotics; Postpone treatment and advise analgesics; Postpone treatment and prescribe antibiotics. |
Q15 |
A 55-year-old patient suffers from infra-orbital facial edema. The patient is feverish and has the left eye partially closed as a result of diffuse facial swelling that appears to be related to element 22. The tooth is deeply decayed and sensitive to the touch. Radiographic exam reveals that the tooth presents dens invaginatus, the root canal lumen is not visible, and the periodontal ligament space appears normal, with an intact lamina dura. As an emergency measure you will: |
Postpone treatment and prescribe antibiotics; Start root canal treatment and prescribe postoperative antibiotics; Start root canal treatment and review the patient in 1-2 weeks; Refer the patient to a Hospital Emergency Service with or without prescription of analgesics and/or antibiotics |