The study concludes: “The estimated survival time of pulpotomized primary molars is affected by dental operator- related factors, which should be considered in management of extensively carious primary molars of paediatric patients, both at the clinical and organizational decision-making levels. An increased focus on the use of SSC is recommended to be in the learning objectives of dental education programs.

Caries decline in the western world is accompanied by strong polarization among children; 8% of Finnish 5-year-olds having 76% of untreated caries. This high caries risk group needs preventive and restorative strategies.
Severely affected primary molars of children at high caries risk are better managed, using PMCs to optimize the resources in public oral health services.