Question 367 · LDEK · Children with systemic diseases and disabilities

Pulp vitality tests performed in a 12-year-old child showed no response from the pulp of the maxillary incisors. The teeth had no carious lesions, no fillings, no damage caused by injuries or malformations. No abnormalities were revealed on radiological examination. There were no lesions affecting the mucosa or periodontal tissues. The child reported no pain. Unresponsive pulp may be the result of:

  1. A. hypocorticoidism.
  2. B. Addison’s disease.
  3. C. a history of radiotherapy in the region of the facial skeleton.
  4. D. blue disease.
  5. E. none of the above.
Hint

Think about which factor damages the pulp's microvasculature and nerve supply without leaving any radiographic trace.

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