Question 59 (part 2) · LDEK · Trauma to primary teeth
Clinical examination of a child aged 3.5 years revealed shortening of the clinical crown of tooth 51, oedema and reddening of the gingiva in anterior part of the maxilla. Mother reported the child’s fall on the stairs, which happened the day before. Choose correct management:
- A. surgical reposition of tooth 51, if the radiological image confirms the shortening of the tooth.
- B. extraction of tooth 51, if the radiological image shows the tooth to be elongated.
- C. leaving the tooth 51 for spontaneous reeruption.
- D. leaving the tooth 51 for spontaneous reeruption, if the radiological image shows the tooth to be elongated.
- E. extraction, because the apex may damage the developing tooth bud.
Hint
Check the current IADT guidance for intruded primary incisors: does the direction of displacement on the radiograph still decide the management?
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