A 3-year-old is brought in 20 minutes after avulsing a primary maxillary central incisor (5.1). The tooth was kept in milk. What is the most appropriate management?
- Correct answer
Do not replant the tooth
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Replant the tooth and splint it for 2 weeks
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Replant the tooth and start a pulpectomy within 2 weeks
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Replant the tooth without a splint
This question is one of 15 in AFK practice: Oral surgery, trauma and orofacial pain. Test yourself on all of them.
Practice quiz FlashcardsExplanations
The IADT advises that an avulsed primary tooth should not be replanted. The reasons are the treatment burden for a young child, the risk of further damage to the developing permanent successor and, most importantly, the risk of the tooth being aspirated. Storage in milk only matters for permanent teeth.
Source: IADT Guidelines for the Management of Traumatic Dental Injuries: 3. Injuries in the Primary Dentition (2020) link — oneguy
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