Question 87 · LDEK · Trauma to permanent teeth

A 13-year-old boy reports to the dental office with a tooth traumatized the day before. After an X-ray and removal of the movable fragment of tooth crown 11 the diagnosis was made: a crown-root fracture with pulp exposure, after gingivectomy the tooth is suitable for reconstruction. What treatment should be used?

  1. A. orthodontic extrusion of the remaining root fragment followed by endodontic treatment and tooth crown reconstruction.
  2. B. surgical extrusion of the remaining root fragment followed by endodontic treatment and tooth crown reconstruction.
  3. C. pulpotomy and tooth crown reconstruction.
  4. D. pulp extirpation and tooth crown reconstruction.
  5. E. starting the apexification process and applying a temporary dressing.
Hint

Estimate the stage of root development of tooth 11 at age 13, and note that the fracture margin becomes accessible after gingivectomy.

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