Sam's deciduous 2nd molar.

Sam (16 years old) came into the clinic and he had really bad decay due to bad oral hygiene habits eg; not brushing his teeth. We changed his oral hygiene habits and worked together to increase his oral hygiene regime, this changed his DMFT completely.
He came in recently with no pain but slight sensitivity in his deciduous 2nd molar. Apart from the deep decay in this tooth travelling through to the pulp, the root structure of the tooth is in stable condition. I went through all the pros and cons in regards to treatment. The options were to perform a pulpotomy on this tooth OR extract the tooth bearing in mind there is no permanent tooth as yet pushing it therefore it most probably fall out naturally later on. I let Sam and his parents know that if I extract the tooth, the teeth adjacent may tilt making oral hygiene habits more difficult or it can affect eating as there is less occlusal surface to bite on.
Sam’s parents want the tooth extracted as they have read somewhere that there is a potential cause of heart problems resulting from pulpotomys. Even though I explained to him that there was no substantiated scientific evidence that that was true, they still wish for me to extract Sam’s tooth.
However I am uncomfortable doing this as Sam’s opinion may differ from his parents when he becomes 18 and it may limit treatments options in future for Sam.