Question 109 · LDEK · Trauma to primary teeth

A 3-year-old child comes to the dental surgery with avulsed tooth 51 one hour after the accident. What is the correct treatment?

  1. A. root canal treatment outside the mouth - “in hand”, replanting the tooth and splinting teeth for 7-14 days.
  2. B. replantation of the tooth, splinting teeth for 7-14 days and a periodic estimation of pulp vitality.
  3. C. replantation of the tooth, splinting teeth for 3-4 weeks, then after 3-4 weeks root canal treatment.
  4. D. no replanting is needed.
  5. E. no replanting is needed, however regular check-ups till the eruption of permanent tooth are advised.
Hint

Weigh the benefit of saving a primary incisor against the risk to the developing permanent successor lying next to its apex.

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