Pediatric Dentistry · single question

CASE 1 — Pediatric patient: Tooth S (primary mandibular second molar) has isolated occlusal caries visible in clinical photos. What is the best treatment?

  1. Amalgam restoration
  2. Stainless steel crown (SSC)
  3. Silver diamine fluoride (SDF)
  4. Composite restoration
Show answer and explanation

Correct answer: D. Composite restoration

  • A. Amalgam is an option but contemporary pediatric dentistry favors composite or GI for isolated occlusal caries.
  • B. SSC is indicated when caries is extensive (multi-surface), after pulp therapy, or when insufficient structure remains for conventional restoration — not for isolated occlusal caries.
  • C. SDF arrests caries but does not restore cavitated tooth structure.
  • D. Isolated occlusal caries (single surface, no pulpal involvement, no extensive spread) in a primary molar is appropriately restored with composite or glass ionomer. Conservative preparation is preferred.

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