A patient experiences pain associated with the permanent mandibular first molar, with a history of pain when consuming cold liquids. What is the likely diagnosis?

Prepare for the AGD Fellowship Exam with our quiz. Use interactive flashcards and multiple choice questions, each accompanied by hints and explanations. Get ready for success!

The symptoms described in the question suggest that the patient is experiencing significant pulpal inflammation, which is often characterized by persistent pain. The history of pain when consuming cold liquids is a crucial indicator. In cases of irreversible pulpitis, the pulp is severely inflamed, leading to a situation where the patient would experience sharp, lingering pain in response to thermal stimuli, such as cold. This is due to damage to the pulp tissue, which cannot return to its normal state.

In contrast, reversible pulpitis would typically present with intermittent pain that subsides quickly after the stimulus is removed. The pain associated with cracked tooth syndrome may not be directly linked to thermal stimuli and often results from biting pressure rather than from exposure to cold liquids. Physiologically normal pulp would not elicit pain in response to cold, as the pulp is healthy and functioning without any inflammatory response. Hence, given the patient's symptoms, the most fitting diagnosis is irreversible pulpitis.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy