After performing pulp testing, what is a likely next step if symptoms persist?

Choosing root canal therapy as the likely next step if symptoms persist after pulp testing is based on the understanding of managing irreversible pulpitis or pulpal necrosis. If the pulp testing indicates that the pulp is not healthy or is suffering from inflammation or necrosis, this typically leads to symptoms such as pain that won’t resolve on its own.

In cases where there is clear evidence of a failing pulp and persistent symptoms, root canal therapy becomes necessary to remove the inflamed or infected pulp tissue. This procedure can help alleviate pain, preserve the tooth structure, and prevent further complications, such as abscess formation or systemic infection.

Other potential options like reassessing occlusion or waiting for symptoms to resolve may not effectively address the underlying issue with the pulp, especially if those symptoms are indicative of an irreversible condition. Extraction could be a last resort if the tooth is not salvageable, but it's generally preferred to attempt to save the tooth through root canal treatment first when possible.