Endodontics · single question

For the same patient, tooth #2 tests negative to cold (endo ice) but is painful to percussion and palpation. What is the diagnosis of tooth #2?

  1. Pulp necrosis with symptomatic apical periodontitis
  2. Symptomatic irreversible pulpitis
  3. Reversible pulpitis
  4. Normal pulp with healthy apex
Show answer and explanation

Correct answer: A. Pulp necrosis with symptomatic apical periodontitis

No response to cold indicates pulp necrosis; pain to percussion/palpation indicates inflammation has reached the periapex (symptomatic apical periodontitis).Other options: Irreversible/reversible pulpitis would still respond to cold; a normal pulp/apex would not be tender to percussion.Key exam takeaway: No cold response + percussion tenderness = pulp necrosis with symptomatic apical periodontitis.

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