Radiology · single question

A tooth does not respond to cold, heat, or electric pulp testing and is asymptomatic. Which pulpal diagnosis is most likely?

  1. Reversible pulpitis
  2. Symptomatic irreversible pulpitis
  3. Pulp necrosis
  4. Normal pulp
Show answer and explanation

Correct answer: C. Pulp necrosis

A necrotic pulp has no vital nerve or blood supply, so it fails to respond to thermal and electric pulp tests and is often asymptomatic until periapical involvement develops.Other options: Reversible and irreversible pulpitis both involve a vital, responsive pulp; a normal pulp responds normally to testing.Key exam takeaway: No response to any pulp test = pulp necrosis; confirm with a second test and a periapical radiograph.

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