Question 360 · LDEK · Primary teeth
A generally healthy 8.5-year-old child has a two-surface cavity and carious pulp exposure on tooth 74. The crown colour is normal, and the response to a cold stimuli is intense and prolonged. The child complains of tooth pain that persists after removal of the painful stimulus. Radiography has not revealed any abnormalities, and the developmental stage of the permanent tooth and the causative tooth is age-appropriate. Select the correct approach:
- A. partial pulpotomy if the inflammation involves only a part of the pulp.
- B. full pulpotomy with ferric sulphate if the inflammation is limited to the pulp.
- C. full pulpotomy with MTA if the inflammation is limited to the pulp.
- D. root canal treatment.
- E. tooth extraction.
Hint
Lingering pain after the stimulus is removed signals irreversible pulpitis; then consider the remaining lifespan of 74 at 8.5 years.
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