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3.2.4 Clinical and Radiographical Features

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 Reversible pulpitis:Pain from cold test does not linger for longer than 30 secondsNo percussion sensitivityNo spontaneous painNo heat sensitivity

 Irreversible pulpitis:Pain from cold test lingers for longer than 30 secondsMay get pain from heat testMay have spontaneous painMay be percussion sensitiveSleep or work is affectedA patient may have difficulty locating the tooth from which the pain originatesRadiographically or clinically, deep caries may be visible

 Chronic hyperplastic pulpitis:Presence of a pink fleshy mass filling a carious cavity (pulp polyp; Figure 3.1)Usually single, rarely involving multiple teethNon‐tender or mildly tenderBleeds readily on probing

Handbook of Oral Pathology and Oral Medicine

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