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Intruded Permanent Tooth Management — NDEB AFK MCQ

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HardPaediatric DentistryIntruded Permanent Tooth ManagementNDEB AFK

A 7-year-old child presents with intrusion of a permanent maxillary central incisor (apex is immature/open). What is the recommended management?

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Correct answer: A — Wait for spontaneous re-eruption and monitor; if no movement within 3 weeks, initiate orthodontic repositioning

For intruded permanent teeth with immature (open) apices in children, spontaneous re-eruption is the preferred initial management because the open apex suggests a greater potential for revascularisation and continued root development. If no eruption movement occurs within 3 weeks, orthodontic extrusion is initiated. Surgical repositioning is reserved for severely intruded teeth (>7 mm) or mature (closed apex) teeth. Pulp vitality must be monitored at all follow-up visits as necrosis is common.

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