pulp is exposed due to injury but is generally not accepted for managing carious pulp exposures in primary teeth, as it has been shown to have limited success. Medicaments used in DPC include calcium hydroxide and alternates such as mineral trioxide aggregate (MTA). Pulpotomy is a treatment performed on a primary tooth with extensive decay without involving pulp in the root canal (radicular pulp) (Cochrane). The entire coronal pulp is removed and the radicular pulp bleeding is stopped. The remaining radicular pulp is treated with a medicament. Pulpotomy is the most frequently used vital pulp therapy technique for deep dental caries in primary teeth. Medicaments used in pulpotomy include commonly formocresol, MTA and ferric sulfates and less commonly sodium hypochlorite, calcium hydroxide, and tricalcium silicate. Pulpectomy is a treatment performed on a primary tooth with extensive decay and involving pulp in the root canal (radicular pulp with irreversible pulpitis or necrosis). The radicular pulp is removed, the pulp canals are filled with a medicament, and a filling is put on the tooth. Medicaments used in pulpectomy include resorbable materials so that they will undergo resorption (dissolution) along with the primary tooth root to allow for proper tooth loss (exfoliation) and replacement with permanent successor teeth. Preformed crowns Decayed primary teeth can be restored with a fitted crown. This can be made from a variety of different materials and attached using a range of methods. A common one used amongst children with caries is a preformed metal crown (PMC). This type of crown is pressed over a decayed tooth without any preparation, local anaesthetic or caries removal, also termed the Hall technique. Studies have shown that more dental practitioners prefer conventional fillings as opposed to PMC’s. However, studies have shown that the risk of both major and minor failures along with pain in the long term was comparatively lower using PMCs as opposed to conventional restorations. Patients who had crowns fitted using the Hall technique also experienced noticeably less discomfort at the time of the appointment, relative to fillings. However, the populations studied were limited to fit and healthy children, and additional research into the tolerance and outcomes of this treatment needs to be done for children with special needs. Recommendations for medicaments used in pulp treatment After direct pulp capping, it is unclear whether any one medicament is superior. After pulpotomy, MTA is the most effective medicament and formocresol is