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Pulpal necrosis refers to:

  1. Inflammation of the pulp

  2. Death of pulpal cells

  3. Healthy pulp tissue

  4. Reversible pulp damage

The correct answer is: Death of pulpal cells

Pulpal necrosis specifically indicates the death of the cells within the dental pulp, which is the innermost part of the tooth composed of nerves and blood vessels. This condition often arises due to untreated dental caries, trauma, or prolonged inflammation, which can compromise the vitality of the pulp tissue. Once necrosis occurs, the pulp is no longer able to carry out its functions, leading to a lack of sensation and contributing to further dental complications, such as infections or abscess formation. Recognizing pulpal necrosis is crucial for appropriate dental treatment, as it typically requires interventions such as root canal therapy or tooth extraction to prevent further issues. Understanding the other options helps clarify why they do not fit the definition; inflammation signifies a state of irritation and not cellular death, healthy pulp tissue indicates a non-pathological state, and reversible pulp damage suggests that the pulp is still alive and can possibly heal, which is contrary to the concept of necrosis.