100 clinical case scenarios for endodontics

By | July 31, 2023

1. A 35-year-old patient presents with severe tooth pain in the lower left quadrant. The tooth has deep caries, and there is a history of sensitivity to cold and hot. On clinical examination, there is localized tenderness to percussion and palpation. The tooth does not respond to pulp vitality testing. What is the most likely diagnosis?

2. A 50-year-old patient reports a dull, intermittent toothache in the upper right quadrant. The tooth has an extensive restoration, and the pain worsens while lying down and improves when sitting up. Pulp testing shows no response in the affected tooth. What could be the cause of this patient’s symptoms?

3. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary central incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and what treatment should be considered?

4. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration. On examination, there is a draining sinus tract, and percussion is painful. Radiographically, there is a large radiolucency at the apex of the tooth. What is the most likely diagnosis, and how should this case be managed?

5. A 60-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

6. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

7. A 55-year-old patient reports discomfort and sensitivity to pressure in the upper right quadrant. The maxillary premolar has a large restoration. Pulp testing shows a delayed response. Radiographically, there is no evidence of periapical pathology. What should be considered in this case?

8. A 20-year-old patient presents with a history of tooth trauma. The maxillary incisor has a pink-to-purple discoloration. Pulp testing indicates a positive response to cold, but the tooth is asymptomatic. What could be the cause of this tooth discoloration, and how should it be managed?

9. A 45-year-old patient reports lingering pain to cold in the upper right quadrant. The tooth has a deep restoration. Pulp testing shows a normal response. Radiographically, there is no evidence of periapical pathology. What is the most likely diagnosis, and how should this case be managed?

10. A 50-year-old patient complains of pain and swelling in the lower left quadrant. The mandibular molar has an old amalgam restoration. On examination, there is a draining sinus tract. Radiographically, there is a well-defined radiolucency at the apex of the tooth. What is the likely diagnosis, and what treatment should be considered?

11. A 25-year-old patient reports sensitivity to cold and biting pressure in the lower right quadrant. The mandibular premolar has a large restoration. Pulp testing shows a normal response, and there is no evidence of periapical pathology on the radiograph. What should be considered in this case?

12. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

13. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

14. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

15. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

16. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

17. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

18. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

19. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

20. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

21. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

22. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

23. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar

has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

24. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

25. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

26. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

27. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

28. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

29. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

30. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

31. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

32. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

33. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

34. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

35. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

36. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

37. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

38. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

39. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

40. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

41. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

42. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

43. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response

. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

44. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

45. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

46. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

47. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

48. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

49. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

50. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

51. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

52. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

53. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

54. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

55. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

56. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

57. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

58. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

59. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

60. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

61. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

62. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

63. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

64. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

65. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is

tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

66. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

67. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

68. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

69. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

70. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

71. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

72. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

73. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

74. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

75. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

76. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

77. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

78. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

79. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

80. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

81. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

82. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

83. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

84. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

85. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

86. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

87. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to

biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

88. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

89. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

90. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

91. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

92. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

93. A 35-year-old patient presents with a cracked tooth in the lower left quadrant. The tooth is sensitive to cold and biting pressure. Pulp testing indicates a positive response to cold. What is the likely diagnosis, and what treatment should be considered?

94. A 60-year-old patient reports a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a draining sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

95. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

96. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?

97. A 30-year-old patient complains of acute pain and swelling in the lower left quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

98. A 25-year-old patient presents with a history of trauma to the upper front teeth. The maxillary incisor shows discoloration and a sinus tract. Radiographic examination reveals a widened periodontal ligament space and a periapical radiolucency. What is the likely diagnosis, and how should this case be managed?

99. A 40-year-old patient complains of pain and swelling in the lower right quadrant. The mandibular molar has a large restoration, and the tooth is tender to percussion. Pulp testing reveals no response. Radiographically, there is a periapical radiolucency. What is the most likely diagnosis, and how should this case be managed?

100. A 55-year-old patient presents with tooth sensitivity and a cracked tooth in the upper left quadrant. Pulp testing reveals normal responses in both the buccal and lingual aspects of the tooth. The tooth is not sensitive to biting but is tender to release. What is the likely diagnosis, and what treatment should be considered?