Regarding the initial thermal and electric pulp testing of teeth following trauma, which of the following is the most appropriate management?

A Tests should be repeated after 30 days to confirm the pulp status

B A single initial test is sufficient to determine pulp vitality

C Testing should be done only after symptoms develop

D Immediate root canal treatment should be initiated after initial testing

Solution

Correct Answer: Option A

Following dental trauma, initial thermal and electric pulp tests may yield false-negative results due to transient nerve damage and inflammation. Therefore, pulp vitality should be reassessed after 30 days to allow recovery of pulpal nerve fibers and to accurately determine the true vitality status. Immediate decisions based on a single early test may lead to unnecessary treatment or missed necrosis. Repeated testing ensures appropriate diagnosis and timely intervention if pulp necrosis develops. This protocol optimizes patient outcomes by avoiding overtreatment and enabling conservative management when possible.

Reference: Andreasen JO et al., Textbook and Color Atlas of Traumatic Injuries to the Teeth, 4th Edition.

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