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Dentistry · Orthodontics: stainless steel crown
Sample itemA 6-year-old has a primary first molar with extensive multi-surface caries after pulpotomy. Which restoration gives the best long-term result?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Preformed stainless steel crown
Stainless steel crowns are the restoration of choice for extensively damaged primary molars, particularly after pulp therapy, and outlast multi-surface fillings. They last until the tooth exfoliates.
Option by option
A. Preformed stainless steel crown (correct)
Correct. A preformed crown covers the whole tooth and resists fracture.
B. Extraction without space maintenance
Extraction without a maintainer risks space loss.
C. Glass ionomer pit sealant
A sealant is for sound pits and fissures.
D. Large amalgam filling alone
Large multi-surface fillings fail often in primary molars.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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