A 7-years child having very deep carious lesions in multiple teeth with no pain what should he the treatment plan:
(A) Indirect pulp capping (B) pulpotomy of all teeth (C) RCT of all teeth (D) Extraction of teeth
(A) Indirect pulp treatment is a procedure performed in a tooth with a deep carious lesion approximating the pulp but without signs or symptoms of pulp degeneration.
The caries surrounding the pulp is left in place to avoid pulp exposure and is covered with a biocompatible material. Indirect pulp capping has been shown to have a higher success rate than pulpotomy in long term studies.
It also allows for a normal exfoliation time.