Avulsion Follow-Up Protocol — ORE Part 1 MCQ

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ModeratePaediatric DentistryAvulsion Follow-Up ProtocolORE Part 1

A permanent incisor with a closed apex has been replanted after avulsion. After the initial emergency management, which clinical and radiographic review schedule is recommended?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — 2 weeks, 4 weeks, 3 months, 6 months, 1 year, then annually for at least 5 years

Explanation lettering: E = shown as A · C = shown as B · D = shown as C · B = shown as D · A = shown as E

The correct answer is A. Replanted permanent teeth require clinical and radiographic review at 2 weeks, 4 weeks, 3 months, 6 months and 1 year, followed by annual review for at least 5 years. This allows early identification of complications, particularly inflammatory root resorption, and later detection of replacement resorption, ankylosis and infraocclusion. In a closed-apex tooth, SDCEP also advises root canal treatment within 2 weeks of replantation. Options B, C and D omit one or more early reviews, when important complications may first be evident. Option E delays the first review until 6 months and is therefore unsafe; it does not provide surveillance during the period of greatest need.

Reference: Fouad AF et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dental Traumatology, 2020. https://pubmed.ncbi.nlm.nih.gov/32460393/