Is there life after Buckley's formocresol? Part II - Development of a protocol for the management of extensive caries in the primary molar.

Objective: To produce a working clinical protocol for pulp therapy techniques in the extensively carious primary molar.

Introduction: The International Agency for Research on Cancer has recently classified formaldehyde as carcinogenic to human beings. As such, a medicament that can be used to replace formocresol in clinical practice should be identified.

Methods: Part I of this paper explored the currently available alternative interventions and materials to formocresol in the form of a narrative review following an extensive literature search. Part II now presents the formation of a specialist group to establish an evidence-based protocol, for the management of the extensively carious primary molar.

Conclusion: A protocol and key points document have been developed to assist clinicians in their treatment planning. Areas for further postgraduate training are identified.