Endodontics · single question

What is the best treatment for tooth #15 (severely decayed, slanted/tipped tooth with radiographic pathology in the Alzheimer's patient case)?

  1. Extraction
  2. Pulpectomy
  3. Do nothing
  4. Pulpotomy
Show answer and explanation

Correct answer: A. Extraction

For a SEVERELY COMPROMISED tooth in an Alzheimer's patient (poor compliance, difficulty maintaining oral hygiene, systemic concerns), EXTRACTION is often the most appropriate treatment. A tipped/impacted tooth #15 (upper second premolar) with periapical pathology and severe decay in a geriatric Alzheimer's patient would be best treated by extraction to eliminate the source of infection and pain, and to provide a treatment the patient can tolerate with minimal follow-up complexity. A is correct.

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