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Luxated Primary Tooth — NDEB AFK MCQ

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ModeratePaediatric DentistryLuxated Primary ToothNDEB AFK

What is the most appropriate initial management of a luxated primary incisor with moderate extrusion (3 mm) in a 2-year-old child?

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Correct answer: D — Allow spontaneous re-eruption, prescribe soft diet, and follow up

For moderately extruded primary incisors in very young children (where cooperation is limited), allowing spontaneous re-eruption with parental guidance (soft diet, cold foods, chlorhexidine) and clinical follow-up is the most conservative and appropriate initial management. Extraction is considered if the tooth is extremely mobile, significantly displaced, or interfering with occlusion. Repositioning may be attempted if the tooth is interfering with bite. Pulp necrosis may develop and should be monitored.

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