Question 10 · LDEK · Diagnosis

A 63-year-old patient reports with severe pain of tooth 43. The pain, lasting for about 2 weeks, arises while consuming warm food. A clinical examination reveals: tooth 43 no pain on percussion, normal reaction to ethyl chloride. No pathological changes on radiograph. The most probable diagnosis is:

  1. A. irreversible pulpitis with vital pulp.
  2. B. pulp necrosis (pulp gangrene).
  3. C. acute apical periodontitis.
  4. D. chronic apical periodontitis.
  5. E. dentine hypersensitivity.
Hint

Combine the trigger (heat), the normal cold response, the lack of percussion pain and the normal radiograph.

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