Use selective caries removal and indirect pulp treatment for an eligible restorable primary molar, then provide a durable coronal seal.
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Confirm normal/reversible pulp and absence of radicular disease.
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Avoid pulp exposure; routine reentry is not required when the seal and clinical course remain satisfactory.
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If exposed, assess vital radicular tissue and controllable bleeding for calcium-silicate pulpotomy.
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Spontaneous pain would require reassessing eligibility; it is not the symptom-free pathway.