Primary Molar Endodontics

Question 1

Consequences of no tx for primary molars

Answer 1

pain
infection
damage to perm successor
loss of space if xla before

Question 2

indications for primary molar endo

Answer 2

good cooperation
avoids GA
MH excludes XLa - bleeding disorder
Lack of perm successor
age
ortho - space preservation

Question 3

contraindications of primary molar endo

Answer 3

poor cooperation
mh - cardiac/immunosuppressed
age
space closure desired
severe/recurrent pain
RR
pus in chamber

Question 4

Clinical indication for vital pulpotomy

Answer 4

pulp minimally inflamed
marginal ridge destroyed
caries extending >2/3rds into dentine

Question 5

Non vital molar signs

Answer 5

Hyperaemic pulp
Pulp necrosis + furcation involvement

Question 6

Symptoms of non vital molar

Answer 6

irreversible pulpits
PA periodontitis - TTP
Chronic sinus
Severe inf/swelling - XLA

Question 7

Clinical failure of pulp therapy

Answer 7

Pain
Sinus
Mobility

Question 8

Radiographic failure of pulp therapy

Answer 8

PAP
Bone loss
Resorption

Question 9

Steps for primary molar pulpotomy

Answer 9

LA+dam+ access
Remove coronal pulp
assess haemorrhage
place ferric sulphate over root stumps for 2mins
CAOH over root stumps –> GI core –> SSC

Question 10

Steps for primary molar pulpectomy

Answer 10

La+dam+access
Remove coronal pulp
RC prep 2mm short of apex
Obturate with CAOH iodoform paste
GIC –> SSC