Question 548 · LDEK · Diagnosis
A 30-year-old patient suffers from escalating spontaneous pain in tooth 15 for 3 days. Clinical examination revealed vast carious lesion and presence of vital pulp, which shows increased sensitivity to stimuli, with simultaneous strong reaction to percussion. Radiographic examination showed slight widening of periodontal ligament space. Indicate correct diagnosis regarding the state of pulp and periapical tissues:
- A. reversible pulpitis, acute periapical tissue inflammation.
- B. reversible pulpitis, periapical abscess.
- C. irreversible pulpitis, chronic exacerbated purulent periodontitis.
- D. irreversible pulpitis, acute periapical tissue inflammation.
- E. pulp necrosis, chronic exacerbated purulent periodontitis.
Hint
Separate the pulp diagnosis (spontaneous pain, vital, hypersensitive) from the periapical one (marked percussion pain, minimal radiographic change).
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