Question 78 · LDEK · Trauma to primary teeth

In a 3-year-old child, the intrusion of teeth 51 and 52 were observed, the crowns are shortened by about 1/3 of their length. The occlusal x-ray shows the dislocation of the root apices in the labial direction as the roots are shorter compared with the analogous teeth. Indicate the treatment of choice:

  1. A. waiting for spontaneous self-eruption, as the root apices did not translocate towards the developing permanent tooth germs.
  2. B. extraction of the teeth, as the root apices translocated towards the developing permanent tooth germs.
  3. C. careful surgical reposition and immobilizing.
  4. D. delayed extraction.
  5. E. none of the above.
Hint

On an occlusal film, a foreshortened root suggests one direction of apex displacement and an elongated root the other.

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