The most probable diagnosis is:
- a. Reversible pulpitis.
- b. Irreversible pulpitis.
- c. Acute apical periodontitis.
Answer C is correct.
Unfortunately, I cannot determine the most probable diagnosis based solely on the information provided. To make an accurate diagnosis, I would need more details about the patient's symptoms, dental history, and any relevant examinations like radiographs.
However, I can explain the differences between the three options you mentioned and provide some general information that might help you narrow down the possibilities:
1. Reversible pulpitis:
- Symptoms:
Mild pain or discomfort, often triggered by hot or cold stimuli but subsiding quickly.
- Cause:
Inflammation of the pulp due to a minor irritant, such as a small cavity or leaky filling.
- Treatment:
Remove the irritant and restore the tooth.
2. Irreversible pulpitis:
- Symptoms:
More severe pain, often throbbing or constant. Pain can be spontaneous (not triggered by stimuli) and may radiate to other areas of the face or head. Sensitivity to hot and cold can be present, but may also be absent.
- Cause:
More advanced inflammation of the pulp, often due to a deeper cavity or infection.
- Treatment:
Root canal treatment or tooth extraction.
3. Acute apical periodontitis:
- Symptoms:
Severe pain, often throbbing and constant. Pain may be localized to the affected tooth or radiate to the surrounding area. The tooth may be sensitive to biting pressure and feel elongated. Facial swelling and fever may also be present.
- Cause:
Inflammation of the tissues around the apex (tip) of the tooth root, often due to an untreated infection from the pulp.
- Treatment:
Root canal treatment or tooth extraction.
Remember:
I am not a medical professional and this information is not a substitute for professional medical advice. Please consult with a dentist for an accurate diagnosis and recommended course of action.
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Endodontics