Endodontics · single question

A tooth has spontaneous pain that lingers for a prolonged time after a cold stimulus is removed. The pulpal diagnosis is:

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

Correct answer: B. Irreversible pulpitis

  • A. Reversible pulpitis gives sharp pain that resolves quickly when the stimulus is removed.
  • B. Correct. Lingering pain after stimulus removal (and/or spontaneous pain) is the hallmark of symptomatic irreversible pulpitis.
  • C. A necrotic pulp typically does not respond to cold/vitality testing.
  • D. A normal pulp gives a brief response with no lingering pain.

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