I have a 4 year old who has broken 1/2 the crown off of one of his molars and exposes at least some of the tooth pulp (whitish/cream colored substance). How should I treat this? Should the tooth be extracted? ...Tanya in WA
Tanya, if the tooth that is fractured has the nerve exposed, it will be red/blood. When you say you are seeing a cream color, I'm assuming that there is an abcess present (based on the question).
If the tooth is abcessed, the tooth will need to be removed and a space maintainer will be needed to preserve the space for the permanent teeth. If the nerve is exposed and the radiograph supports restoring the tooth, then the tooth can be saved with a nerve treatment/pulpotomy and a stainless steel crown.
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