7 y/o boy came to the clinic in the right maxillary central incisor with large pulp exposure.. pulptomy with Ca (OH)2

7 y/o boy came to the clinic in the right maxillary central incisor with large pulp exposure:

• 1- pulpectomy with Ca(OH)2
• 2- pulptomy with Ca (OH)2.***
• 3- Direct pulp capping
• 4- leave it.

For a 7-year-old boy with a large pulp exposure in his right maxillary central incisor, the most appropriate treatment option is: 2. Pulpotomy with Ca(OH)2.

Here's why:

- Pulpectomy (complete removal of the pulp):

This is typically reserved for cases where the pulp is irreversibly inflamed or infected. While a large exposure suggests potential inflammation, further evaluation and tests are needed to confirm. In a 7-year-old with a developing tooth, preserving as much healthy pulp as possible is desirable.

- Pulpotomy (partial removal of the inflamed coronal pulp):

This is a more conservative approach that can potentially save the tooth's vitality. In this case, the inflamed coronal pulp would be removed, leaving the healthy radicular pulp intact. Ca(OH)2, a biocompatible material, would be placed over the remaining pulp to promote healing and barrier formation.

- Direct pulp capping:

This involves placing a capping material directly over the exposed pulp without removing any tissue. This option is not recommended for large exposures like this, as the success rate is low and the risk of infection is high.

- Leave it:

This is not a viable option as leaving an exposed pulp will inevitably lead to infection and further damage to the tooth.

Therefore, pulpotomy with Ca(OH)2 offers the best chance of preserving the tooth's vitality and function while minimizing the risk of complications. This option should be performed by a qualified dentist who can assess the extent of the inflammation and perform the procedure appropriately.

Here are some additional points to consider:

• The success of a pulpotomy depends on several factors, including the size and location of the exposure, the health of the remaining pulp, and the skill of the dentist.
• Regular follow-up appointments are crucial to monitor the tooth's health and address any potential complications.
• If the pulpotomy fails, a root canal treatment may be necessary in the future.