Question 127 · LDEK · Trauma to primary teeth

The fall of a 3-year-old child caused the root tip of tooth 51 to move in the labial direction. Clinically, half the crown is visible and no malocclusion. X-ray revealed a visible root tip, shorter than that of the adjacent tooth, and no root fracture. The most appropriate treatment should be:

  1. A. periodic observation.
  2. B. immediate tooth extraction.
  3. C. tooth extrusion and splinting for 3 weeks.
  4. D. tooth extraction and replanting in the right position.
  5. E. cosmetic reconstruction of the shortened crown.
Hint

Consider where the displaced apex lies relative to the permanent tooth germ and how intruded primary teeth usually behave.

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