Endodontics · single question

Most consistent diagnosis?

Tooth tests NEGATIVE to cold, with swelling and pain on percussion.

  1. Pulp necrosis with apical periodontitis/abscess
  2. Asymptomatic irreversible pulpitis with periodontal abscess
Show answer and explanation

Correct answer: A. Pulp necrosis with apical periodontitis/abscess

Negative cold = necrosis; percussion pain + swelling = symptomatic apical periodontitis/abscess.
  • A. Correct. No response to cold = non-vital (necrotic) pulp; percussion pain + swelling = apical periodontitis/abscess.
  • B. Irreversible pulpitis is still vital and would respond to cold — inconsistent with a negative cold test.

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