What indicators suggest the pulp remains healthy after a deep lesion managed with MID?

• A. No spontaneous pain, normal response to pulp vitality tests over time, absence of continuous sensitivity, and radiographic signs of dentin bridge or vitality.
• B. Spontaneous pain and lingering sensitivity
• C. Immediate radiographic dentin bridge after procedure
• D. Negative pulp vitality test results

Answer: (A)

After a deep lesion treated with minimally invasive dentistry, healthy pulp status shows up as no spontaneous pain, stable or improving responses to pulp vitality tests over time, and no persistent or spontaneous sensitivity. Radiographically, you’d look for signs that the pulp is responding and staying vital, such as the formation of reparative (dentin) bridge at the pulp–dentin interface and no periapical pathology. This combination indicates the pulp is protected by the seal and able to recover.

Spontaneous pain or lingering sensitivity would suggest ongoing pulpal inflammation rather than health. An immediate dentin bridge on radiographs right after the procedure isn’t expected, since bridge formation develops over weeks to months. A negative pulp vitality test would imply nonvital pulp, not a healthy pulp.