Inside a Rare "Pulp in Flux" Case

The diagnosis made before treatment doesn't always match what's found inside the tooth. All the preoperative evidence — radiographs, CBCT, pressure testing — pointed to necrotic pulp in tooth #14. But on access, the pulp told a different story: one canal fully vital, another completely necrotic, the rest somewhere in between — a rare condition Dr. Nudera calls "pulp in flux." He walks through the step-by-step decision-making, how he adapted when the findings didn't match the tests, and why sometimes the only way to know for sure is to look inside — a strong example of interpreting diagnostic data, managing partial necrosis, and adjusting when the pulp has other plans.