Question 20 · LDEK · Trauma to primary teeth
The parent comes to the dental office with a 3-year-old child after a dental trauma. The tooth is displaced (retruded); during tapping a metallic-like (ankylotic) sound can be heard, no mobility and altered occlusion can be observed. The tooth should be cleaned with a spray of water, saline or chlorhexidine and:
- A. the tooth should be left for spontaneous self-eruption.
- B. local anesthesia should be applied and the tooth should be repositioned by finger pressing.
- C. local anesthesia should be applied and the tooth should be extracted.
- D. the tooth should be ground.
- E. local anesthesia should be applied and the tooth should be repositioned by finger pressing and splinted.
Hint
The tooth is locked in bone and the bite is disturbed; decide whether waiting is enough and whether a primary tooth needs stabilization afterwards.
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