Australian Dental Council (ADC) Test 2025 – 400 Free Practice Questions to Pass the Exam

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What treatment should be considered for a child two days after traumatic exposure of a primary central incisor?

Pulpotomy and Ca(OH)2

Direct pulp capping

Pulpectomy (RCT)

In the context of a child presenting two days after a traumatic exposure of a primary central incisor, the best treatment option is pulpectomy, also known as root canal treatment for primary teeth. This procedure becomes relevant when the pulp has been irreversibly damaged or infected due to the trauma, which is likely to occur within this short timeframe following exposure.

Pulpectomy involves the complete removal of the pulp tissue from both the crown and root canals of the tooth. This is essential in cases where there is a risk of pulp necrosis, particularly after trauma, because the pulp can become inflamed and infected, leading to severe pain and complications if not treated promptly. By performing a pulpectomy, the integrity of the primary tooth can be maintained, allowing for continued function and preserving space for the permanent dentition.

In comparison, while options like pulpotomy and direct pulp capping might be considered in less severe cases of pulp exposure where the pulp is still healthy, these treatments are more suitable when there's evidence that the pulp is still viable. Since this scenario occurs two days after injury, there is a higher likelihood that the pulp has been compromised, making pulpectomy the more appropriate choice.

Extraction may be a consideration in cases where the tooth is

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Extraction of the tooth

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