The objective of this retrospective study was to determine the profile
of primary teeth with pulpal involvement secondary to caries that req
uired pulp therapy or extractions. Three hundred and ninety teeth were
selected in 215 children (twelve years old and under) at an inner-cit
y clinic in the United States over an eighteen-month period. An analys
is of frequency distribution was done. Molar teeth were most affected
by this stage of caries with morbidity increasing with age. Ln the und
er-six-year-olds, however, maxillary incisors were most affected. Extr
action was the predominant treatment selected for the incisors with th
is degree of caries. Pulp therapy was the treatment of choice for mola
r teeth in the under-six-year-olds, but this trend was reversed with t
he number of extractions increasing in the six-to-twelve-year-old chil
dren.