INBDE (Integrated National Board Dental Examination) Practice Exam

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What is the treatment of choice for vital and restorable primary teeth with pulp exposure?

  1. Pulpotomy

  2. Pulpectomy

  3. Direct Pulp Cap

  4. Apicoectomy

The correct answer is: Pulpotomy

The treatment of choice for vital and restorable primary teeth with pulp exposure is a pulpotomy. A pulpotomy involves the partial removal of the dental pulp, leaving the vital part of the pulp in the root canal. This helps to maintain the vitality of the tooth and allows for the placement of a suitable restorative material to protect the remaining pulp tissue and maintain the tooth's function. Pulpectomy involves the complete removal of the pulp tissue, which is usually indicated for primary teeth with extensive decay or irreversible pulpitis. Direct pulp cap is a procedure primarily used in permanent teeth, where a biocompatible material is placed directly over an exposed pulp to help stimulate the formation of reparative dentin. Apicoectomy is a surgical procedure that involves the removal of the apex or tip of the tooth's root and is typically performed on permanent teeth with persistent infection or inflammation in the periapical region.