In idiopathic osteosclerosis, the pulp of affected teeth is typically?

• A. Vital
• B. Non-vital
• C. Necrotic
• D. Inflamed

Answer: (A)

Pulp vitality remains normal in idiopathic osteclerosis. This condition is a dense, non-inflammatory bone island in the jaw that forms within cancellous bone near tooth roots and is not driven by pulpal disease. Teeth in the area are clinically asymptomatic and respond normally to vitality testing, indicating the pulp is healthy. If the pulp were non-vital, necrotic, or inflamed, you would expect signs of pulpal pathology or symptoms, which aren’t present with idiopathic osteosclerosis.