skip to main content

Avulsed Permanent Tooth Management — NDEB AFK MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePaediatric DentistryAvulsed Permanent Tooth ManagementNDEB AFK

A 7-year-old child presents with a permanent maxillary central incisor that was avulsed 30 minutes ago. The tooth was stored in milk. The apex is open. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: B — Reimplant gently, splint with a flexible splint for 2 weeks, and do not perform root canal treatment initially

For an avulsed permanent tooth with an open apex stored in physiological medium (milk, saline, HBSS) for <60 minutes, reimplantation is indicated with the goal of revascularisation. The tooth should be rinsed gently, reimplanted, and splinted with a flexible splint for 2 weeks (IADT guidelines). Root canal treatment is NOT initiated immediately for open apex teeth as revascularisation may occur. Follow-up is essential; if pulp necrosis develops, apexification or revascularisation procedures are performed.

Reference: IADT – Guidelines for Management of Traumatic Dental Injuries, 2020