Abstract: Accurate assessment of the state of health of the dental pulp is a cornerstone in successful diagnosis and management of the endodontic pathosis. Pulp testing combined with information taken from the history, examination and radiographs leads to the diagnosis of the underlying disease. The commonly used electric pulp test and thermal tests are sensibility tests which extrapolate pulp health from sensory response. Pulp vitality tests attempt to examine the vascularity of pulp, as this is viewed as a better measure of true health than sensibility tests. However, in teeth with full-coverage restoration determining the health of pulp through vitality testing can be challenging due to various reasons pertaining to the tests themselves and the special conditions of teeth. This paper aims to review the literature regarding various pulp vitality testing on teeth with full coverage restoration so we can carefully interpret and closely scrutinise false results that can lead to misdiagnosis.