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Endodontics · single question

A patient presents with lingering pain to cold and positive percussion. What is the pulpal and periapical diagnosis?

  1. Symptomatic irreversible pulpitis with symptomatic apical periodontitis
  2. Asymptomatic irreversible pulpitis with symptomatic apical periodontitis
  3. Reversible pulpitis with normal apex
  4. Necrotic pulp with chronic apical abscess
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Correct answer: A. Symptomatic irreversible pulpitis with symptomatic apical periodontitis

Lingering pain to cold (15 seconds) = irreversible pulpitis, and because the patient is symptomatic with spontaneous pain, it is SYMPTOMATIC irreversible pulpitis. Positive percussion indicates inflammation has extended to the periodontal ligament, which is symptomatic apical periodontitis.3. Medically Compromised Patients & Pharmacology

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