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Endodontics · single question

For a patient with symptomatic irreversible pulpitis and no medical contraindication, when should definitive endodontic treatment begin?

  1. As soon as possible (immediately) to remove the source and relieve pain
  2. Only after a 2-week course of antibiotics
  3. After the symptoms spontaneously resolve
  4. Never — extraction is the only option
Show answer and explanation

Correct answer: A. As soon as possible (immediately) to remove the source and relieve pain

  • A. Correct. The definitive treatment is to address the inflamed pulp promptly; pain relief follows from removing the source.
  • B. Incorrect. Antibiotics are not indicated for localized irreversible pulpitis without systemic involvement.
  • C. Incorrect. Irreversible pulpitis does not self-resolve; waiting prolongs suffering.
  • D. Incorrect. A restorable tooth can be saved with endodontic therapy; extraction is not the only option.

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