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. 2025 Jan 7;17:4. doi: 10.1038/s41368-024-00333-9

Table 1.

Diagnostic classification of pulpitis between AAE20 and Wolters et al.59

AAE classification Wolters classification Clinical symptoms Histological situation Therapy
Reversible pulpitis Initial pulpitis

Heightened but not lengthened response to the cold test.

No spontaneous pain or percussion sensitivity.

Limited local inflammation is confined to a coronal pulp. Indirect pulp capping
Reversible pulpitis Mild pulpitis

Heightened and lengthened reaction to cold, warm, and sweet stimuli that can last up to 20 s.

No spontaneous pain but possible percussion sensitivity.

Limited local inflammation is confined to a coronal pulp. Indirect pulp capping
Irreversible pulpitis Moderate pulpitis

Strong, heightened, and prolonged reaction to cold, which can last for minutes.

Spontaneous dull pain that can be suppressed with pain medication, and possible percussion sensitivity.

Extensive local inflammation confined to coronal pulp. PP/FP
Irreversible pulpitis Severe pulpitis

Clear pain reaction to warmth and cold stimuli.

Severe spontaneous sharp or dull pain and very sensitive to percussion.

Extensive local inflammation of coronal pulp possibly extending into root canals.

FP-if hemostasis can be achieved.

RCT-if hemostasis failed.