MOD amalgam restoration with deep mesial box, PT come with pain related to it after 1 month due to:
- a. Pulp involvement.
- b. Supraocclusion.
- c. Upon contact.
- d. Gingival recession.
Answer A is correct.
Based on the information provided, the most likely cause of the patient's pain after one month from the MOD amalgam restoration with deep mesial box is: a. Pulp involvement.
Here's why:
- Deep mesial box:
This cavity location is close to the pulp chamber, which houses the sensitive nerves and blood vessels of the tooth.
- Pain after one month:
Pulp involvement often presents with delayed pain, even weeks or months after the initial treatment.
Other options:
- Supraocclusion:
Pain on biting would be the primary symptom, not general or spontaneous pain.
- Upon contact:
This suggests sensitivity more towards the restoration surface, not necessarily pulp involvement.
- Gingival recession:
While this can lead to sensitivity, it wouldn't typically be the cause of pain related to a deep mesial restoration.
However, it's important to remember that a definitive diagnosis can only be made by a dental professional through a thorough examination and additional tests.
Here are some additional points to consider:
- Severity and type of pain:
Throbbing, sharp pain that worsens with hot or cold stimuli is more suggestive of pulp involvement.
- Past dental history:
Previous restorations or trauma to the tooth could increase the risk of pulp involvement.
- Radiographic findings:
X-rays may reveal secondary caries near the pulp or widening of the periodontal ligament space, indicating inflammation.
It's crucial for the patient to consult their dentist as soon as possible to determine the cause of the pain and receive proper treatment.
