Question 255 · LDEK · Pulp diseases

A 23-year-old patient presents with a spontaneous pain of tooth 46 lasting for about 1 week. The pain has been much stronger since yesterday. The clinical and radiological examination lead to the diagnosis of irreversible pulpitis. Because of no time to perform the indicated treatment on the same day the appointment is scheduled for 3 days later. What is the recommended treatment in this case?

1. AA. prescribing antibiotic and analgesics and the next visit in 3 days.
2. BB. trepanation of the pulp chamber in local anesthesia, an extirpation of the pulp from the chamber and the distal canal, application steroid-antibiotic preparation on the bleeding pulp and the next visit in 3 days.
3. CC. trepanation of the pulp chamber in local anesthesia, application devitalizing preparation on the bleeding pulp and the next visit in 3 days.
4. DD. trepanation of the pulp chamber in local anesthesia, a removal of the coronal pulp, applicating the preparation of unsetting calcium hydroxide on root canal orifices and floor of the pulp chamber and the next visit in 3 days for creating a final restoration of the tooth.
5. EE. trepanation of the pulp chamber in local anesthesia, performing a procedure of direct pulp capping using MTA on the bleeding pulp and the next visit in 3 days for creating a final restoration of the tooth.