When treating a child with a traumatic exposure of a primary central incisor, which procedure should be considered if it is two days post-injury?

In the scenario of treating a child with a traumatic exposure of a primary central incisor two days post-injury, a pulpectomy, or root canal treatment (RCT), is the most appropriate procedure. This decision is based on the following rationale:

When a primary tooth experiences pulp exposure due to trauma, the health and viability of the dental pulp are critical to determining the appropriate treatment. After two days, there is a significant risk that the pulp may have become necrotic or infected, especially if there were any signs of inflammation or pain. A pulpectomy entails the complete removal of the necrotic pulp tissue, which helps alleviate pain and prevents the spread of infection to surrounding tissues.

Since primary teeth have a unique physiology and a relatively short lifespan compared to permanent teeth, retaining their structure and addressing any issues quickly is essential. In cases where the pulp is no longer vital, a pulpectomy not only addresses the immediate problem by removing the infected pulp but also allows for the preservation of the tooth until it naturally exfoliates, making it an ideal choice for treating the tooth effectively.

Other procedures, such as pulpotomy or direct pulp capping, are typically considered when the pulp is still vital, but in this particular situation, where