A 3-year-old avulses the maxillary right primary central incisor (5.1) in a fall. The tooth is brought to the office in milk 20 minutes later. What is the most appropriate management?

  • Correct answer

    Do not replant the tooth; assess the area and arrange follow-up

  • Replant the tooth and splint for 2 weeks

  • Replant the tooth and begin a pulpectomy

  • Rinse the tooth with saline and replant it without splinting

This question is one of 15 in AFK practice: Orthodontics, pediatric and geriatric dentistry. Test yourself on all of them.

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Explanations

  • Avulsed primary teeth should not be replanted because of the risk of damaging the developing permanent successor. Replantation and splinting apply to avulsed permanent teeth.

    Source: IADT Guidelines for the Management of Traumatic Dental Injuries (2020) — oneguy

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