Pediatric Dentistry · single question

For a 5-year-old with deep caries on tooth #L (primary maxillary left second molar), what is the treatment of choice?

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

Correct answer: B. Stainless steel crown (SSC)

  • A. Composite resin has limited longevity in primary molar restorations compared to SSC, especially with deep caries.
  • B. Correct. Stainless steel crown (SSC) is the treatment of choice for primary molars with extensive/deep caries or following pulp treatment (pulpotomy/pulpectomy). SSCs have superior longevity compared to composite or amalgam in primary molars.
  • C. SDF arrests caries progression but is used for teeth that cannot be conventionally treated or as a caries-arrest strategy — not the primary treatment for a restorable primary molar.
  • D. Extraction is not the first choice for a primary molar that can be restored; space maintenance would be needed after extraction.

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