Question 33 · LDEK · Pulp diseases
A 22-year-old male patient complains of a pain in tooth 22 that awakened him at 4:00 AM and still persists. The intraoral examination revealed the presence of a clinically acceptable, extensive filling on the distal surface of tooth 22. The patient reports that the filling was placed a month ago and the procedure was performed under anesthesia. In the described situation it is advisable to:
- A. exclude the tooth from occlusion and order a painkiller, and observe the tooth.
- B. remove the filling, apply an odontotropic material and temporary filling, and observe the tooth.
- C. perform pulp extirpation under anesthesia and implement RCT.
- D. replace the filling with glass-ionomer.
- E. implement open treatment and order nonsteroidal antiinflammatory drugs (NSAIDs).
Hint
Spontaneous pain that wakes the patient at night is the key sign; decide whether the pulp can still recover.
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