ADC Written Exam Practice Questions - ADC Written Examination (Dentists) Exam

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A patient has a deep carious lesion on tooth 46 with no spontaneous pain; the tooth responds normally to cold and there are no periapical changes radiographically. During excavation you reach a point where further removal would likely expose the pulp. What is the most evidence-based approach in line with current vital pulp therapy concepts?

Complete the cavity by fully removing all stained dentine regardless of pulp exposure risk Place a temporary dressing and review in 12 months before any restoration Initiate root canal treatment immediately as the pulp is certainly necrotic Perform selective (partial) caries removal over the pulpal area, leaving firm affected dentine, then seal with a biocompatible liner and definitive restoration

Correct Answer:

Perform selective (partial) caries removal over the pulpal area, leaving firm affected dentine, then seal with a biocompatible liner and definitive restoration

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