Table 1.
Summary of case scenarios and response choices
| Scenario | Description of scenario | Response choices |
|---|---|---|
| 1 | A 6-year-old boy has a single distal occlusal cavity affecting less than half of the marginal ridge in the lower right first primary molar. The tooth is vital and the child has no history of pain | • No restorative treatment |
| • Fluoride varnish application | ||
| • Atraumatic restorative treatment | ||
| • Traditional restorative treatment | ||
| • Vital pulpotomy with glass ionomer/composite or amalgam restoration | ||
| • Vital pulpotomy with stainless steel crown | ||
| • Extraction under local anaesthetic | ||
| • Refer for extraction under sedation | ||
| • Refer for extraction under general anaesthetic | ||
| 2 | A 6-year-old boy has a single distal occlusal cavity affecting more than half of the marginal ridge in the lower right first primary molar. The tooth is vital and the child has no history of pain | • No restorative treatment |
| • Fluoride varnish application | ||
| • Atraumatic restorative treatment | ||
| • Traditional restorative treatment | ||
| • Vital pulpotomy with glass ionomer/composite or amalgam restoration | ||
| • Vital pulpotomy with stainless steel crown | ||
| • Extraction under local anaesthetic | ||
| • Refer for extraction under sedation | ||
| • Refer for extraction under general anaesthetic | ||
| 3 | A 6-year-old boy has a large distal occlusal cavity in the lower right first primary molar, which is non-vital and has an associated sinus. He has no history of pain | • No restorative treatment |
| • Fluoride varnish application | ||
| • Atraumatic restorative treatment | ||
| • Traditional restorative treatment | ||
| • Open the pulp chamber and drain the tooth | ||
| • Non-vital pulpotomy with glass ionomer/composite or amalgam restoration | ||
| • Non-vital pulpotomy with stainless steel crown | ||
| • Prescribe antibiotics alone | ||
| • Extraction under local anaesthetic | ||
| • Refer for extraction under sedation | ||
| • Refer for extraction under general anaesthetic | ||
| 4 | A 6-year-old boy has a large distal occlusal cavity in the lower right first primary molar in which more than half of the marginal ridge has been destroyed. He is experiencing pain. (Dentists were asked to give their preferred treatment options to immediately relieve the child’s pain) | • Open the pulp chamber and drain the tooth |
| • Excavate caries and place a sedative temporary dressing | ||
| • Prescribe antibiotics alone | ||
| • Prescribe analgesics alone | ||
| • Prescribe both antibiotics and analgesics | ||
| • Extraction under local anaesthetic | ||
| • Do nothing immediately but refer for extraction under sedation | ||
| • Do nothing immediately but refer for extraction under general anaesthetic |