Endodontics · single question

Most definitive way to CONFIRM pulp necrosis?

  1. Transillumination
  2. Test cavity
  3. Palpation
  4. Percussion
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Correct answer: B. Test cavity

  • A. Incorrect. Transillumination detects cracks/caries, not pulp vitality.
  • B. Correct. A test cavity (drilling into dentin WITHOUT anesthesia) is the most definitive: no sensation indicates a necrotic pulp. It is a last resort because it is irreversible.
  • C. Incorrect. Palpation assesses periapical/soft-tissue tenderness, not pulp vitality.
  • D. Incorrect. Percussion assesses the periodontal ligament/inflammation, not whether the pulp is alive.

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