Apprehensive child (no anesthesia experience) has complicated primary tooth fracture with pulp involvement. Most appropriate treatment?

Splinting only
Immediate extraction
Pulpotomy under GA if needed
Pulpectomy and SSC

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Correct answer: B. Immediate extraction

Apprehensive, inexperienced child + complicated primary tooth fracture (pulp exposure) = EXTRACTION as most practical appropriate treatment when patient cooperation is limited. Adequate pulp therapy requires cooperation. Extraction resolves the acute issue. Space management considered afterward.

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Apprehensive child (no anesthesia experience) has complicated primary tooth fracture with pulp involvement. Most appropriate treatment?

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