For a 3 mm extrusive luxation, which sequence best represents initial management?

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

For a 3 mm extrusive luxation, which sequence best represents initial management?

Reposition the tooth and stabilize it with a flexible splint for about two weeks. This realigns the displaced tooth and allows the periodontal ligament to begin healing while permitting gentle tooth movement, which helps prevent further injury during the healing process. After repositioning, evaluate pulp status. If the tooth is mature with a closed apex, there is a higher risk of pulpal necrosis after extrusion, so root canal therapy may be required later. If the tooth is immature with an open apex, revascularization can occur and immediate RCT is not always necessary. Extraction or simply observing without intervention isn’t appropriate for a displaced tooth, and immediate endodontic treatment for all cases isn’t indicated because management depends on pulp vitality and healing.

Reposition the tooth and stabilize it with a flexible splint for about two weeks. This realigns the displaced tooth and allows the periodontal ligament to begin healing while permitting gentle tooth movement, which helps prevent further injury during the healing process. After repositioning, evaluate pulp status. If the tooth is mature with a closed apex, there is a higher risk of pulpal necrosis after extrusion, so root canal therapy may be required later. If the tooth is immature with an open apex, revascularization can occur and immediate RCT is not always necessary. Extraction or simply observing without intervention isn’t appropriate for a displaced tooth, and immediate endodontic treatment for all cases isn’t indicated because management depends on pulp vitality and healing.

More practice questions