In avulsion with closed apex in place, which action is part of 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!

When a permanent tooth with a closed apex is avulsed, the first step is to replant it back into its socket as soon as possible. Prompt replantation preserves the periodontal ligament cells and the alveolar socket, giving the tooth the best chance to heal and function long-term. If possible, rinse the tooth gently with saline to remove debris while handling it by the crown, align it with the bite, and seat it into the socket with gentle pressure. After reinsertion, verify proper position and stabilize with a flexible splint for about 1 to 2 weeks. Suturing the socket or taking action without reinserting does not address the primary need to reestablish the tooth within the socket, and a simple saline rinse alone doesn’t replace the benefit of realigning and replanting. If immediate replantation isn’t possible, store the tooth in an appropriate medium and seek urgent care.