Dental Treatment of Tooth Fractures

What is the primary goal of vital pulp therapy in immature teeth?

To perform root canal therapy as a precautionary measure
To remove the pulp and perform pulpectomy
To extract the tooth due to poor prognosis
To maintain pulp vitality and promote continued root development (correct)

What is the primary goal of apexification in immature roots?

To promote calcified tissue formation
To enhance closure of the apical widest part (correct)
To stimulate pulp revascularization
To induce interproximal bone growth

What is the optimal time for pulp capping in cases of complicated crown fracture?

Within 24 hours of the trauma (correct)
After 48 hours of the trauma
After 1 week of the trauma
After 72 hours of the trauma

What is the main requirement for success of vital pulp therapy?

A bacteria-tight seal and pulp dressing (A) Signup and view all the answers

In mid-root fractures, what is the recommended treatment when both segments are necrotic?

RCT for both segments with splinting (A) Signup and view all the answers

What is the primary goal of revascularization in vital pulp therapy?

To restore vitality to the pulp and promote continued root development (C) Signup and view all the answers

What is the primary difference between healing with calcified tissue and healing with interproximal connective tissue in root fractures?

The degree of mobility between the fragments (A) Signup and view all the answers

In cases where the coronal segment is treated as an immature root, what is the recommended treatment?

Apexification and MTA barrier (A) Signup and view all the answers

In which cases is pulpotomy the treatment of choice?

In cases with an immature tooth and open apex (A) Signup and view all the answers

What is the primary aim of vital pulp therapy in traumatic injuries?

To prevent pulp necrosis and promote healing (D) Signup and view all the answers

What is the primary indication for root canal therapy in cases of complicated crown fracture?

When vital pulp therapy is not possible due to pulp necrosis (A) Signup and view all the answers

What is the primary factor that affects the treatment plan for traumatic injuries?

The maturity of the root (B) Signup and view all the answers

What is the primary goal of emergency treatment for mobility or displacement?

To reposition the segments in close proximity and splinting for 2-4 weeks (C) Signup and view all the answers

What is the recommended follow-up schedule for mobility or displacement?

3, 6, 12 months and yearly for 5 years (A) Signup and view all the answers

What is the treatment option for apical root fractures without displacement and mobility?

No treatment and follow-up (D) Signup and view all the answers

What is the fate of the apical segment in apical root fractures?

It usually remains vital and does not require treatment (B) Signup and view all the answers

What is the treatment option for coronal root fractures?

Reapproximation and length evaluation of the remaining root (B) Signup and view all the answers

What is the treatment option for the coronal fragment in apical root fractures?

Endodontic treatment and restoration (D) Signup and view all the answers

What is the likely diagnosis for the upper left central incisor with arrested root development and a periapical radiolucency?

Incomplete root development due to pulp necrosis (B) Signup and view all the answers

What is the management for an uncomplicated crown fracture with pulp exposure?

Full composite restoration with pulp preservation (A) Signup and view all the answers

What is the indication for endodontic intervention in a tooth with infraction?

Radiographic signs of periapical periodontitis (C) Signup and view all the answers

What is the goal of vital pulp therapy in a tooth with a complicated crown fracture?

To preserve the pulp vitality and prevent necrosis (C) Signup and view all the answers

What is the treatment for a tooth with a crown-root fracture?

Root canal therapy with apexification (A) Signup and view all the answers

What is the primary goal of pulp capping in a tooth with a crown fracture?

To promote dentin bridge formation (D) Signup and view all the answers

What is the primary reason for repeating pulp tests after traumatic injuries?

To monitor the recovery of pulp function over time (C) Signup and view all the answers

What is the significance of negative response to pulp tests in traumatized teeth?

It may be a false negative due to disturbed nerve conduction (D) Signup and view all the answers

What is the primary purpose of radiographic examination in traumatic injuries?

To detect root fractures or bone fractures (B) Signup and view all the answers

What is the recommended interval for repeating pulp tests after traumatic injury?

At 3 weeks, 3 months, 6 months, and 1 year (B) Signup and view all the answers

What is the primary indication for CBCT in traumatic injuries?

To detect embedded foreign objects in soft tissue lacerations (D) Signup and view all the answers

What is the significance of the 9-month period in pulp response to traumatic injuries?

It takes 9 months for normal blood flow to return to the coronal pulp (B) Signup and view all the answers

What is the characteristic of a horizontal fracture in root fractures?

Fracture line at right angle with the long axis of the tooth (A) Signup and view all the answers

What is the significance of displacement of the coronal segment and its extent in root fractures?

Indicates the location of the fracture (B) Signup and view all the answers

What is the primary goal of management in root fractures with no mobility or displacement?

To provide no treatment (B) Signup and view all the answers

What is the characteristic of a chisel fracture in root fractures?

Fracture line is at different level, evenly beveled having a chisel like appearance (A) Signup and view all the answers

What is the significance of radiographic examination in root fractures?

To determine the location of the fracture (B) Signup and view all the answers

What is the characteristic of a cervical fracture in root fractures?

Fracture occurs at the cervical third of the root (A) Signup and view all the answers

What is the characteristic of an apical fracture in root fractures?

Fracture occurs at the apical third of the root (A) Signup and view all the answers

What is the primary goal of management in severe root fractures?

To perform a root canal therapy (C) Signup and view all the answers

What is the significance of pain on biting and tenderness to percussion in root fractures?

Indicates the presence of the fracture (D) Signup and view all the answers

What is the characteristic of a multiple fracture in root fractures?

More than one line of fracture (B) Signup and view all the answers