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Endodontics · single question

What is the combined pulpal/periapical diagnosis?

  1. Reversible pulpitis + normal periapex
  2. Pulp necrosis + chronic apical abscess
  3. Symptomatic irreversible pulpitis + symptomatic apical periodontitis
  4. Asymptomatic irreversible pulpitis + asymptomatic apical periodontitis
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Correct answer: C. Symptomatic irreversible pulpitis + symptomatic apical periodontitis

Lingering thermal pain and spontaneous pain indicate symptomatic irreversible pulpitis. The pulp is still vital but inflamed. Tenderness to percussion indicates periapical inflammation (mechanical/inflammatory mediators extending to PDL) — symptomatic apical periodontitis. Treatment: emergency pulpotomy/pulpectomy followed by RCT.15. Multiple Myeloma & Antiresorptive Therapy

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