Pediatric Dentistry · single question

A 4-year-old boy with muscular dystrophy needs pulp treatment of the lower second primary molar. What anesthesia is appropriate?

  1. Intraligamentary injection
  2. IAN block
  3. Topical only
  4. Infiltration only
Show answer and explanation

Correct answer: A. Intraligamentary injection

  • A. Correct. For pulp treatment of a mandibular primary molar in a 4-year-old, the IAN block is appropriate. Muscular dystrophy does not contraindicate standard regional anesthesia.
  • B. Incorrect. Intraligamentary (PDL) injection is contraindicated in children as it may damage the underlying permanent tooth bud.
  • C. Incorrect. Infiltration alone provides insufficient anesthesia depth for mandibular primary molar pulp treatment.
  • D. Incorrect. Topical alone is entirely insufficient for pulp therapy.

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