A 7-year-old has an intruded permanent maxillary central incisor with an open apex (immature root). According to IADT guidelines, what is the most appropriate initial management?

  • Correct answer

    Allow spontaneous re-eruption and monitor

  • Immediate surgical repositioning and splinting

  • Immediate orthodontic extrusion

  • Extraction of the tooth

This question is one of 15 in AFK practice: Oral surgery, trauma and orofacial pain. Test yourself on all of them.

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Explanations

  • IADT guidelines advise letting all intruded immature permanent teeth re-erupt on their own, whatever the degree of intrusion. Orthodontic repositioning starts only if no re-eruption is seen within about 8 weeks. In mature teeth, only intrusions of less than 3 mm are left to re-erupt; deeper intrusions are repositioned surgically or orthodontically.

    Source: IADT Guidelines for the Management of Traumatic Dental Injuries: 1. Fractures and Luxations (2020) link — oneguy

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