Primary Molar Pulpotomy — MFDS Part 1 MCQ
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Correct answer: D — Removal of all coronal pulp tissue while retaining vital radicular pulp, followed by placement of a suitable pulp material and coronal restoration
A full coronal pulpotomy removes the pulp tissue within the coronal pulp chamber while preserving vital radicular pulp. After haemostasis, current SDCEP guidance advises placement of a calcium silicate cement such as mineral trioxide aggregate, or an appropriate alternative, followed by a well-sealed restoration; a preformed metal crown is normally placed at the same appointment. Ferric sulphate may be used to achieve haemostasis but is not equivalent to the definitive pulp material, and formocresol should not be used because of safety concerns. Option A describes pulpectomy. Option E describes selective caries removal rather than pulp therapy. Option B describes a partial pulpotomy. Option C describes extraction and does not preserve the tooth.
Reference: Scottish Dental Clinical Effectiveness Programme. Prevention and Management of Dental Caries in Children, Third Edition: Dental Techniques—Pulpotomy for Primary Teeth. 2025. https://www.childcaries.sdcep.org.uk/guidance/dental-techniques/pulpotomy-for-primary-teeth/