Eidgenössisches Examen Zahnmedizin Practice Questions - Eidgenössisches Examen Zahnmedizin Examen Fédéral De Médecine Dentaire Esame Federale Di Medicina Dentaria Exam

Access More Questions

A 34-year-old patient presents with a deep occlusal carious lesion on tooth 36 extending into the inner third of the dentin on bitewing radiography. The tooth tests positive and normally to cold sensibility testing and is asymptomatic with no tenderness to percussion. Periapical radiography shows an intact lamina dura without periapical radiolucency. According to contemporary consensus on deep caries management (International Caries Consensus Collaboration / European consensus), what is the most appropriate carious tissue excavation protocol to preserve pulpal vitality?

Complete (non-selective) carious tissue excavation to hard, sound dentin throughout the entire cavity floor regardless of pulp proximity Selective carious tissue removal to soft dentin over the pulpal wall while establishing peripheral margins in hard, clean dentin, followed by immediate adhesive restoration Stepwise excavation leaving soft dentin, placing a temporary zinc oxide-eugenol cement, and performing mandatory re-entry after 6 months to remove remaining soft dentin Immediate prophylactic elective root canal therapy because radiographic depth in the inner dentinal third carries an unacceptable risk of pulpal failure

Correct Answer:

Selective carious tissue removal to soft dentin over the pulpal wall while establishing peripheral margins in hard, clean dentin, followed by immediate adhesive restoration

Access more questions from this quiz

Continue to Eidgenössisches Examen Zahnmedizin Practice Questions - Eidgenössisches Examen Zahnmedizin Examen fédéral de médecine dentaire Esame federale di medicina dentaria Exam for more practice questions and the full quiz experience.

Access More Questions