Question 214 · LDEK · Periapical diseases
A 37-year-old patient was referred for endodontic treatment of the tooth 11 from another clinic. He complained of feeling sick, getting feverish and having severe pain aggravated by heated food and warm drinks. Cold alleviates the pain. The patient claims that he cannot even touch this tooth with the tongue because of the pain. What is the most probable diagnosis?
- A. acute apical abscess.
- B. periodontal abscess.
- C. chronic apical periodontitis.
- D. apical cyst.
- E. irreversible pulpitis.
Hint
Fever and malaise plus a tooth too tender to touch suggest a process that has spread beyond the pulp into the periapical tissues.
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