Question 572 · LDEK · Pulp diseases
A 42-year-old patient presents for the treatment of tooth 36. She has a history of diabetes mellitus and is under regular care of a diabetologist. Intraoral examination reveals an extensive cavity on tooth 36. The tooth shows a positive response in the vitality test. The patient’s oral hygiene is satisfactory. During cavity preparation, carious pulp exposure occurred. In this situation it is recommended to:
- A. perform pulp extirpation under anaesthesia followed by one-visit root canal treatment.
- B. perform pulp extirpation under anaesthesia followed by one-visit root canal treatment with antibiotic therapy.
- C. perform direct pulp capping using zinc oxide eugenol and place a temporary filling for 2 weeks. If the patient does not report any complaints, the temporary filling should be replaced with a permanent filling.
- D. recommend tooth extraction due to the presence of a systemic disease.
- E. consult with a diabetologist to review the treatment plan.
Hint
Consider the pulp status after a carious exposure in an adult and whether well-controlled diabetes changes routine endodontic care.
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