What treatment is recommended for a tooth with large pulp and signs of trauma shortly after eruption?

What treatment is recommended for a tooth with large pulp and signs of trauma shortly after eruption?

• A. Monitoring
• B. Root canal treatment
• C. Direct pulp cap
• D. Extraction

Answer: (C)

In the case of a tooth with a large pulp and signs of trauma shortly after eruption, direct pulp cap is an appropriate treatment option. This approach is particularly considered when there's a chance of pulp vitality being preserved despite the trauma. A direct pulp cap involves placing a biocompatible material directly over the exposed pulp tissue to promote healing and dentin regeneration. This is especially crucial in young patients, as their teeth are still developing, and preserving the vitality of the pulp can allow continued root development and strengthen the tooth structure. Monitoring is generally more passive and would not actively address any immediate concerns regarding pulp exposure or trauma. Root canal treatment, conversely, is more definitive and often reserved for when there is clear evidence of pulp necrosis or irreversible pulpitis, which doesn’t always align with a case of trauma where potential for healing is still viable. Extraction would represent a last resort typically indicated when the tooth is beyond saving due to extensive damage or infection. In the context of a recently erupted tooth with a large pulp, the focus is on maintaining the vitality of the pulp, making direct pulp cap the recommended approach.

In the case of a tooth with a large pulp and signs of trauma shortly after eruption, direct pulp cap is an appropriate treatment option. This approach is particularly considered when there's a chance of pulp vitality being preserved despite the trauma. A direct pulp cap involves placing a biocompatible material directly over the exposed pulp tissue to promote healing and dentin regeneration. This is especially crucial in young patients, as their teeth are still developing, and preserving the vitality of the pulp can allow continued root development and strengthen the tooth structure.

Monitoring is generally more passive and would not actively address any immediate concerns regarding pulp exposure or trauma. Root canal treatment, conversely, is more definitive and often reserved for when there is clear evidence of pulp necrosis or irreversible pulpitis, which doesn’t always align with a case of trauma where potential for healing is still viable. Extraction would represent a last resort typically indicated when the tooth is beyond saving due to extensive damage or infection. In the context of a recently erupted tooth with a large pulp, the focus is on maintaining the vitality of the pulp, making direct pulp cap the recommended approach.