Dental Splinting — ORE Part 1 MCQ

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ModerateOral SurgeryDental SplintingORE Part 1

Which of the following is the most appropriate material for splinting an avulsed replanted permanent tooth?

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Correct answer: C — Flexible composite-wire splint

Answer: A. The flexible composite-wire splint is most appropriate because non-rigid fixation allowing physiologic tooth mobility is essential for optimal periodontal healing after replantation. This approach reduces the risk of dentoalveolar ankylosis and external replacement resorption. B (rigid acrylic splint) is contraindicated—rigid splints compromise periodontal and gingival healing. C (orthodontic band with GIC) is excessively rigid. D (circumferential wiring) is an outdated rigid technique. E (GIC block) lacks evidence and would be rigid and destructive to tissues. The wire-composite splint is the widely recommended and evidence-supported standard in current dental traumatology guidelines.

Reference: International Association of Dental Traumatology (IADT) guidelines (2012) and consensus dental traumatology literature (Filippi, Andreasen et al., 2001–2005) on optimal splinting of replanted permanent teeth. https://pubmed.ncbi.nlm.nih.gov/16033040/