Prepare for the American Board of Pediatric Dentistry Oral Boards. Utilize flashcards and multiple-choice questions with hints and explanations to ace your exam!

Multiple Choice

Following surgical repositioning of an intrusive luxation greater than 7 millimeters in a mature tooth, the splint should be maintained for

Stabilization after repositioning a severely intruded yet mature tooth relies on a short period of immobilization that allows the periodontal ligament and surrounding bone to heal without allowing relapse. When intrusion is greater than 7 mm and the tooth has been surgically repositioned, a flexible splint for about four weeks provides enough time for reattachment of the PDL and for the socket to rehabilitate, while avoiding prolonged stiffness that can contribute to ankylosis or resorption. Two weeks would be too short to permit proper healing and stability, while six weeks unnecessarily increases the risk of adverse remodeling. After four weeks, reassess the tooth to ensure stable alignment before removing the splint.

Stabilization after repositioning a severely intruded yet mature tooth relies on a short period of immobilization that allows the periodontal ligament and surrounding bone to heal without allowing relapse. When intrusion is greater than 7 mm and the tooth has been surgically repositioned, a flexible splint for about four weeks provides enough time for reattachment of the PDL and for the socket to rehabilitate, while avoiding prolonged stiffness that can contribute to ankylosis or resorption. Two weeks would be too short to permit proper healing and stability, while six weeks unnecessarily increases the risk of adverse remodeling. After four weeks, reassess the tooth to ensure stable alignment before removing the splint.