DANB General Chairside Practice Test

A primary indication for performing a pulpotomy is?

1. To treat extrusive luxation

2. To address irreversible pulpitis in permanent teeth

3. To remove a necrotic pulp

4. To preserve vitality in a tooth with carious exposure

The correct answer is: To preserve vitality in a tooth with carious exposure

A primary indication for performing a pulpotomy is to preserve vitality in a tooth with carious exposure. This procedure is commonly indicated in primary teeth or immature permanent teeth where maintaining pulp vitality is essential for continued root development and overall tooth health. A pulpotomy involves removing the diseased or affected portion of the pulp while leaving the healthy pulp tissue intact, allowing for the potential healing and preservation of the tooth's vitality. In cases of carious exposure, the pulp may be inflamed but not necessarily necrotic; therefore, a pulpotomy can be beneficial. This treatment allows for further development of the tooth while minimizing the extent of the intervention needed. Preservation of vitality helps maintain the tooth's position, function, and the health of surrounding tissues, which is particularly critical in younger patients or where tooth loss could impact future dental alignment. Understanding when to opt for this treatment is crucial in dental practice, particularly for those working with pediatric patients or dealing with young permanent teeth.