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Pulpotomy in primary molar — NDEB AFK MCQ

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ModeratePaediatric DentistryPulpotomy in primary molarNDEB AFK

A 6-year-old has a carious exposure in tooth 8.4. The bleeding is controlled after coronal pulp removal, there is no furcation radiolucency, and the tooth is restorable. What is the most appropriate treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Pulpotomy and full coronal restoration

A restorable primary molar with controlled radicular pulp bleeding and no furcation pathology is suitable for pulpotomy followed by a durable coronal seal. Extraction would be overtreatment without considering function and space. The pearl is that pulpotomy success depends heavily on case selection and final restoration quality.

Reference: Canadian paediatric dentistry reference texts; NDEB KSAs 2024