Which statement about irreversible pulpitis is true?

• A. It is always symptomatic
• B. It can be asymptomatic
• C. It does not require treatment
• D. It only presents with hot sensitivity

Answer: (B)

Irreversible pulpitis can indeed be asymptomatic, which makes this statement true. This condition is characterized by inflammation of the pulp tissue within the tooth, leading to varying degrees of pain and sensitivity. While it often presents with noticeable symptoms, including spontaneous pain or discomfort when exposed to certain stimuli (like cold or sweet substances), there are instances where patients do not experience any symptoms at all. This asymptomatic presentation can lead to challenges in diagnosis, as individuals may not seek treatment until a more advanced stage of dental issue emerges.

The other statements do not accurately represent the nature of irreversible pulpitis. It is not always symptomatic, as some patients may have no pain despite the condition. Treatment is usually required to address the infected pulp, typically involving root canal therapy or extraction. Additionally, the sensitivity experienced can vary widely and does not exclusively manifest as a reaction to hot stimuli; it can also include sensitivity to cold and other triggers.