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Dentistry · Orthodontics and paediatric dentistry: dental trauma
Sample itemA 3-year-old has a primary incisor knocked out in a fall and brought to the clinic in milk. What is the correct management?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Do not replant, as it may damage the permanent tooth germ
Avulsed primary teeth are not replanted because replantation risks damaging the developing permanent tooth germ and causing ankylosis. Parents are counselled and the area is monitored.
Option by option
A. Replant within 1 hour
Time does not alter this rule for primary teeth.
B. Do not replant, as it may damage the permanent tooth germ (correct)
Correct. Replantation can harm the underlying permanent tooth germ.
C. Perform pulpectomy and replant
Replantation is avoided regardless of pulp treatment.
D. Splint for 4 weeks
Splinting is part of permanent tooth replantation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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