Try it
Dentistry · Paediatric dentistry: pulpotomy
Sample itemA child's primary molar has deep caries with inflamed coronal pulp but a vital radicular pulp. Which treatment is appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Pulpotomy with MTA, ferric sulphate or formocresol
Pulpotomy removes the inflamed coronal pulp and treats the radicular stumps to keep the tooth functional until natural exfoliation. MTA is a favoured modern medicament.
Option by option
A. Pulpotomy with MTA, ferric sulphate or formocresol (correct)
Correct. This preserves the vital radicular pulp.
B. Pulpectomy of every primary tooth
Pulpectomy is for non-vital pulps.
C. Immediate extraction of all molars
Extraction is not required while the tooth can be preserved.
D. Observation only
Untreated deep caries will progress.
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.
More Dentistry questions
- Tooth development: Hertwig's root sheathDuring tooth development, which structure induces odontoblast differentiation in the roo…
- Tooth eruption: first permanent toothA 6-year-old child has a new tooth behind the last deciduous molar, with no deciduous to…
- Tooth development: neonatal lineGround sections of deciduous teeth show an accentuated incremental line in enamel and de…
- Tooth development: cell rests of MalassezEpithelial cell rests of Malassez persist in the periodontal ligament. Which cyst most o…