Diagnosis is a crucial step in any treatment plan.
Especially with new patient …... as the first step is building trust.
This patient came to my clinic complaining about sever pain after 1 week of MOD composite done by another colleague.
The sign and symptoms were very characteristic of Acute irreversible pulpitis.
The pulp was so inflamed that I couldn’t stop bleeding after complete shaping…... so I placed Caoh to control bleeding.
The RCT was straight forward ….. nothing special
I always depend on 5 diagnostic test to seek information about pulp status:
1- Periapical Radiograph
2- Vitality test (cold test)
3- Percussion test
4- Biting test
5- Periodontal Examination









