is based on subjective and objective findings that the vital inflamed pulp is incapable of
healing and that root canal treatment is indicated. Characteristics may include sharp pain upon thermal stimulus, lingering
pain (often 30 seconds or longer after stimulus removal), spontaneity (unprovoked pain) and referred pain. Sometimes
the pain may be accentuated by postural changes such as lying down or bending over and over-the-counter analgesics are
typically ineffective. Common etiologies may include deep caries, extensive restorations, or fractures exposing the pulpal
tissues. Teeth with symptomatic irreversible pulpitis may be difficult to diagnose because the inflammation has not yet
reached the periapical tissues, thus resulting in no pain or discomfort to percussion. In such cases, dental history and thermal
testing are the primary tools for assessing pulpal status.
is based on subjective and objective findings that the vital inflamed pulp is incapable ofhealing and that root canal treatment is indicated. Characteristics may include sharp pain upon thermal stimulus, lingeringpain (often 30 seconds or longer after stimulus removal), spontaneity (unprovoked pain) and referred pain. Sometimesthe pain may be accentuated by postural changes such as lying down or bending over and over-the-counter analgesics aretypically ineffective. Common etiologies may include deep caries, extensive restorations, or fractures exposing the pulpaltissues. Teeth with symptomatic irreversible pulpitis may be difficult to diagnose because the inflammation has not yetreached the periapical tissues, thus resulting in no pain or discomfort to percussion. In such cases, dental history and thermaltesting are the primary tools for assessing pulpal status.
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