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What is the result when pulp tissue is irreversibly inflamed?

  1. The pulp will recover with treatment

  2. A root canal or extraction is necessary

  3. The condition will resolve itself without intervention

  4. Only monitoring is required

The correct answer is: A root canal or extraction is necessary

When pulp tissue experiences irreversible inflammation, it indicates a significant level of damage and deterioration beyond the point of self-recovery. Irreversible pulpitis typically results from prolonged exposure to pathogens, trauma, or deep decay, leading to necrosis of the pulp tissue. In such cases, the tooth cannot heal on its own, as the inflammation has become chronic and means that the pulp is no longer viable. Therefore, intervention is essential to prevent further complications, such as abscess formation or systemic infections. A root canal procedure is often employed to remove the compromised pulp tissue, clean and disinfect the root canals, and typically fill them to prevent re-infection. If the damage is too severe or if the patient opts not to pursue root canal treatment, tooth extraction becomes necessary to eliminate the source of infection and discomfort. Consequently, in the context of irreversible pulpitis, the only viable solutions involve either a root canal treatment or extraction, making this option the appropriate choice.