Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with severe, spontaneous, and lingering dental pain localized to [Tooth #]. Pain is described as sharp/throbbing, exacerbated by thermal stimuli (specifically cold/heat) and persists for >30 seconds after stimulus removal. Nocturnal pain reported, disrupting sleep. No history of recent trauma.
Clinical Examination Findings
Intraoral examination reveals deep carious lesion on [Tooth #] involving dentin. Percussion test: positive (+). Palpation of apical mucosa: negative. Cold thermal test: exaggerated, lingering response. Electric Pulp Test (EPT): positive with low threshold. Periodontal probing depths within normal limits. No evidence of localized swelling or sinus tract.
Treatment Protocol
Diagnosis: Irreversible Pulpitis (K04.0). Treatment plan: Emergency pulpectomy/root canal therapy initiated on [Tooth #]. Local anesthesia administered (e.g., 2% Lidocaine with 1:100k epi). Rubber dam isolation, access cavity preparation, extirpation of inflamed pulp tissue, chemomechanical debridement with NaOCl, and placement of intracanal medicament (CaOH). Temporary restoration placed.