What is the recommended treatment for a 13-year-old with a sensitive primary second molar that has pulpal involvement?

The recommended treatment for a 13-year-old with a sensitive primary second molar that has pulpal involvement typically involves considering the child's dental development and the status of the tooth. While the choice indicates extraction of the primary second molar, it's important to evaluate the circumstances leading to this decision.

In cases where a primary tooth has significant pulpal involvement and is symptomatic, extraction may be necessary to prevent further complications such as infection or abscess formation, which can affect the developing permanent teeth. At age 13, many children are nearing the stage where their primary teeth are naturally being lost as their permanent teeth erupt. Thus, maintaining space for the developing permanent teeth is crucial, and extraction of the primary tooth can keep the oral environment healthy.

If a root canal treatment were an option, it might have the potential to save the tooth; however, it may not always be appropriate depending on the extent of pulpal involvement and the general prognosis of the tooth. Current treatment guidelines often favor extraction over treatment that isn't likely to restore long-term functionality or health, particularly when the tooth is already compromised.

The rationale for extracting the tooth rather than attempting to maintain it through other means is based on ensuring the child's overall dental health and allowing the space for the eruption of the