Question 207 · LDEK · Trauma to permanent teeth
In a 10-year-old patient avulsed tooth 21 was repositioned into the alveolar socket within 20 minutes after the trauma. After the next 30 minutes the patient came to the dental surgery. What kind of treatment should be undertaken?
1) extract the replanted tooth, control the alveolar socket and replant the tooth;
2) clinically and radiologically check the replanted tooth positioning;
3) immobilize the tooth with splinting for 2 weeks and administer antibiotic therapy;
4) start root canal treatment 7-10 days after the replantation;
5) pulp revascularization should be anticipated, so periodical tests of pulp vitality should be performed.
The correct answer is:
2) clinically and radiologically check the replanted tooth positioning;
3) immobilize the tooth with splinting for 2 weeks and administer antibiotic therapy;
4) start root canal treatment 7-10 days after the replantation;
5) pulp revascularization should be anticipated, so periodical tests of pulp vitality should be performed.
The correct answer is:
- A. only 1.
- B. 2,3,4.
- C. 2,3,4,5.
- D. 1,5.
- E. 1,3,4.
Hint
The tooth was already replanted on site; think about what to do with a practically mature root and whether revascularisation is realistic.
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