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Endodontics · single question

The pregnant patient with tooth #19 has cold sensitivity AND TTP. What is the PULPAL diagnosis?

  1. Asymptomatic irreversible pulpitis
  2. Reversible pulpitis
  3. Normal pulp with symptomatic apical periodontitis
  4. Symptomatic irreversible pulpitis
Show answer and explanation

Correct answer: D. Symptomatic irreversible pulpitis

  • A. Incorrect. Asymptomatic irreversible pulpitis = no spontaneous symptoms, discovered incidentally. This patient IS in pain.
  • B. Incorrect. Reversible pulpitis: brief, non-lingering cold response; resolves when stimulus removed. This patient has ongoing pain.
  • C. Incorrect. 'Normal pulp with periapical periodontitis' would require a vital, healthy pulp but no cold sensitivity. This patient HAS cold sensitivity.
  • D. Correct. SYMPTOMATIC irreversible pulpitis: irreversibly inflamed pulp WITH symptoms — lingering cold response, possible spontaneous/nocturnal pain. Requires endodontic treatment. The TTP indicates periapical extension (symptomatic apical periodontitis as the periapical diagnosis).

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