Question 233 · LDEK · Periapical diseases

A 34-year-old female came to the dental office with a deep carious lesion in tooth 46. The tooth did not respond to thermal stimuli and there was a small draining sinus tract adjacent to it. Periodontal tissues around the tooth were normal. What treatment should be performed in this case?

  1. A. irrigation of the sinus tract outlet on the mucosa with 0.9% NaCl.
  2. B. oral antibiotic therapy.
  3. C. partial caries preparation and ZOE placement.
  4. D. pulpotomy and calcium hydroxide dressing placement.
  5. E. antiseptic root canal treatment.
Hint

A pulp that does not respond plus a sinus tract with a healthy periodontium point to the root canal as the source of infection.

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