Radiology · single question

A patient (no dental visit in 4 years) has full-mouth radiographs; a radiolucency is found on virgin tooth #20. What should the dentist do NEXT?

  1. Thermal test
  2. Electric pulp test
  3. Percussion
  4. Proceed directly to restoration
Show answer and explanation

Correct answer: A. Thermal test

  • A. Correct. Before treating, assess pulpal status; a thermal (cold) test is the standard first pulp vitality test to determine whether the pulp is vital, inflamed, or necrotic.
  • B. Electric pulp testing is supplementary; thermal testing is the usual first vitality assessment.
  • C. Percussion evaluates periapical/periodontal status, not pulpal vitality, so it's not the first diagnostic step here.
  • D. Restoring without first diagnosing pulpal status could miss the need for endodontic treatment.

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