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Exam questionKROK 2Dentistry ยท 2009

A 12-year-old boy complains about permanent intense throbbing toothache that is getting worse when biting down on food. Objectively: the patient's face is asymmetric because of a collateral edema of soft tissues, submandibular lymph nodes are enlarged and painful on palpation. The 26 tooth has a deep cavity not communicating with the tooth cavity. Thermal test is positive, probing is painless, percussion causes acute pain, the tooth is mobile. X-ray picture of the 26 tooth shows no changes in the periodontium. What is the most likely diagnosis?

Answer options

  1. Acute purulent pulpitis
  2. Acute purulent periodontitis
  3. Pulpitis complicated by periodontitis
  4. Exacerbation of chronic periodontitis
  5. Acute serous periodontitis
Correct answer

Acute purulent periodontitis

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