Question 253 · LDEK · Pulp diseases

A 40-year-old patient reports to the dental office with severe pain of tooth 34 lasting for a week. During intraoral examination an extensive caries cavity of tooth 34 with demineralized dentin at the bottom is noticed. The tooth has an increased sensitivity to cold and shows no reaction on percussion. Radiological examination did not reveal any periapical lesion. The optimal management in this case consists in:

  1. A. observation.
  2. B. general antibiotic therapy.
  3. C. cavity preparation, indirect pulp capping.
  4. D. cavity preparation, direct pulp capping.
  5. E. pulp extirpation in anesthesia, root canal treatment.
Hint

Severe pain lasting a week with cold sensitivity under a deep carious lesion points to a pulp that will no longer recover.

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