A patient’s history reveals sensitivity in their primary dentition. What should be considered for treatment?

The focus when addressing sensitivity in a patient’s primary dentition should include evaluating the underlying cause of the sensitivity. When there is significant decay present, extraction of the affected primary teeth may be necessary to alleviate pain and prevent further complications, such as infection or damage to surrounding teeth and structures.

In cases where significant decay is identified, extraction is often preferred over less invasive treatments like crowns, especially since primary teeth have temporary roles and the focus may be on the long-term health of the child and any potential issues affecting the developing permanent dentition.

Observation alone would not address the patient's discomfort, and immediate extraction is not warranted unless there is severe pathology that necessitates urgent action. Therefore, the best approach in this situation is to consider extraction if significant decay is present, allowing the child's oral health to be managed effectively while acknowledging the inherent temporary nature of primary teeth.