Indirect pulp capping procedures on primary molars are indicated when:

 # Indirect pulp capping procedures on primary molars are indicated when:

A. Removal of decay has exposed the pulp

B. A tooth has a large, long-standing lesion with a history of continuous pain

C. The carious lesion has just penetrated to DEJ

D. The carious lesion is suspected of producing exposure of the pulp

The correct answer is C. The carious lesion has just penetrated to DEJ. 

Indirect Pulp Treatment (IPT)

• Indications: tooth with deep carious lesion, vital pulp

• Objectives: preservation of vitality, arrest of caries advance, formation of tertiary dentin.

• Technique: excavation of most affected dentin, application of medicament over thin layer of sound or carious dentin with no clinically evident pulpal exposure, place Ca(OH)2 or glass ionomer cement, restoration should seal completely, e.g. stainless steel crown

• re-entry for completion of caries removal is not necessary.

Reference: AAPD Handbook of Pediatric Dentistry, Third Edition. Page no 79

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