A patient says tooth 1.4 has been sensitive to cold since a composite restoration was placed 1 week ago. The sharp pain stops within a few seconds after the cold is removed, and there is no spontaneous pain. Percussion and radiographs are normal. What is the most appropriate management?

  • Correct answer

    Reassure the patient, check the occlusion and restoration, and reassess

  • Begin root canal treatment

  • Perform a pulpotomy

  • Extract the tooth

This question is one of 15 in AFK practice: Endodontics. Test yourself on all of them.

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Explanations

  • Brief, non-lingering pain with no spontaneous symptoms fits reversible pulpitis, where the pulp is expected to recover once the irritant is managed. Root canal treatment is indicated for irreversible pulpitis or necrosis, not this situation.

    Source: AAE Consensus Conference Recommended Diagnostic Terminology (J Endod 2009) — oneguy

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