Endodontics · single question

Which test is LEAST definitive for confirming a diagnosis of pulp necrosis?

  1. Methylene blue staining test
  2. Cavity test (access without anesthesia)
  3. Palpation test
  4. EPT (electric pulp test)
Show answer and explanation

Correct answer: C. Palpation test

  • A. ❌ Methylene blue dye CAN confirm necrosis by staining necrotic tissue — this IS among the more definitive methods.
  • B. ❌ The cavity test (drilling without anesthesia — patient feels nothing if truly necrotic) is one of the MOST DEFINITIVE confirmatory tests.
  • C. ✅ Correct (LEAST definitive). Palpation tests periapical tissues and may indicate periapical pathology, but does NOT directly confirm pulp necrosis — it only suggests a periapical reaction. Palpation is the least definitive for CONFIRMING necrosis itself.
  • D. ❌ EPT (electric pulp test) provides information about pulp vitality — a negative response supports necrosis.

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