This high-yield revision note on Pulpitis & Periapical Pathologies: Reversible vs Irreversible Made Easy covers everything examiners typically test under Endodontics — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.
| Condition | Clinical Signs | Vitality | Treatment |
|---|---|---|---|
| Reversible pulpitis | Sharp, transient pain to cold/sweet, stops immediately after stimulus removed | Vital | Remove cause, restore tooth |
| Irreversible pulpitis | Spontaneous, lingering pain; late stage - heat aggravates, cold may relieve (gas/pus expansion by heat) | Vital (until necrosis) | Root canal treatment |
| Pulp necrosis | No response to any pulp vitality test | Non-vital | RCT |
| Acute apical periodontitis | Tender to percussion/biting, no radiographic change yet | Variable | Depends on pulp status |
| Acute periapical (dentoalveolar) abscess | Severe pain, swelling, may have systemic signs (fever, malaise) | Non-vital | Incision & drainage + RCT or extraction |
| Chronic apical periodontitis (periapical granuloma) | Usually asymptomatic, periapical radiolucency on X-ray | Non-vital | RCT |
| Condensing osteitis | Localized radiopacity, reaction to chronic low-grade pulpal irritation | Often vital or previously treated | Treat underlying cause |
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