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?
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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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