Endodontic Management of Traumatic Injuries

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What percentage of laxative injuries result in pulp canal obliteration?

10% to 20%

30% to 44% (correct)

20% to 30%

50% to 60%

What is the primary goal of emergency management at the accident site for tooth avulsion?

To take the patient to the dental office immediately

To replace the tooth in the socket or partly into the socket (correct)

To administer pain relief to the patient

To scrub the tooth with soap and water

What is the recommended treatment for lateral luxation in mature teeth?

The tooth should be splinted for 2-4 weeks and then monitored for signs of pulp necrosis

The tooth should be extracted immediately

The tooth should be monitored for signs of revascularization

Root canal therapy should be initiated as early as 2 weeks after the injury (correct)

What is the recommended treatment for intrusive luxation in immature teeth?

The tooth should be repositioned orthodontically or with sudden forceps adjustment Signup and view all the answers

What is the purpose of using a storage medium for avulsed teeth?

To maintain the periodontal ligament in a viable state Signup and view all the answers

What is the recommended management for concussion and subluxation?

The tooth should be monitored regularly for signs of pulp necrosis Signup and view all the answers

What is the definition of avulsion?

The tooth is completely displaced from its socket Signup and view all the answers

What is the recommended time frame for semirigid fixation in cases of avulsion with alveolar fractures?

4 to 8 weeks Signup and view all the answers

What is the primary goal of splinting in traumatic dental injuries?

To allow for physiologic movement of the tooth during healing Signup and view all the answers

What is the recommended management for intrusion in mature teeth?

Root canal therapy should be initiated as early as 2 weeks after the injury Signup and view all the answers

Why is it essential to verify the position of the replanted tooth with a radiograph?

To serve as a reference for follow-up Signup and view all the answers

What is the primary purpose of prescribing systemic antibiotics in the management of avulsion injuries?

To prevent bacterial invasion of the necrotic pulp Signup and view all the answers

What is the mechanism by which tetracycline helps reduce root resorption?

By inhibiting the motility of osteoclasts Signup and view all the answers

What is the recommended management of soft tissue lacerations in the socket?

Suturing them after thorough wound cleaning Signup and view all the answers

What is the primary objective of adjusting the bite after tooth replantation?

To prevent traumatic occlusion Signup and view all the answers

What type of fixation is recommended for dental avulsion injuries?

Semirigid fixation Signup and view all the answers

What is the main goal of replanting the root in open apex avulsion management?

To revascularize the pulp Signup and view all the answers

What is the recommended treatment for the root if the extraoral dry time is greater than 60 minutes for a closed apex?

Soak in acid for 5 minutes to remove periodontal ligament Signup and view all the answers

What is the optimal extraoral dry time for avulsion management?

15-20 minutes Signup and view all the answers

What is the benefit of using enamel matrix protein (Emdogain) in avulsion management?

Makes the root more resistant to resorption Signup and view all the answers

What is the recommended treatment for the socket in avulsion management?

Gentle saline rinsing to remove debris Signup and view all the answers

What is the purpose of soaking the root in fluoride in avulsion management?

To strengthen the root Signup and view all the answers

What is the recommended treatment for the root in open apex avulsion management when the extraoral dry time is less than 60 minutes?

Rinse with saline and replant Signup and view all the answers

What is the benefit of revascularization of the pulp in open apex avulsion management?

Continued root development Signup and view all the answers

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

All of the above Signup and view all the answers

What is the recommended treatment approach for lateral luxation?

Repositioning and stabilizing the tooth Signup and view all the answers

What is the primary goal of apex closure in traumatized immature teeth?

To achieve root development Signup and view all the answers

What is the recommended management approach for avulsion emergency?

Immediate reimplantation and splinting Signup and view all the answers

What is the primary complication of intrusive luxation?

Pulp necrosis Signup and view all the answers

What is the recommended treatment approach for intrusive luxation?

Root canal therapy within 2-4 weeks Signup and view all the answers

What is the primary goal of pulp revascularization?

To regenerate pulp tissue Signup and view all the answers

What is the recommended reading material for understanding traumatic injuries and their management?

All of the above Signup and view all the answers

What is the primary focus of the second visit in avulsion management?

Prevention or elimination of irritants from the root canal space Signup and view all the answers

What is the purpose of using Ca(OH)2 or Ledermix in root canal therapy?

To shut down the inflammatory response and prevent root resorption Signup and view all the answers

What is the term for the replacement of the root and cementum with bone, leading to tooth loss?

Ankylosis Signup and view all the answers

What is the primary challenge in diagnosing cracks and fractures?

The lack of radiographic manifestation in the early stages Signup and view all the answers

What is the purpose of using a flexible probe in diagnosing vertical root fractures?

To cause pressure blanching of the surrounding tissues Signup and view all the answers

What is the term for a partial discontinuity in a material that may propagate and lead to a complete discontinuity?

Crack Signup and view all the answers

What is the primary goal of the second visit in avulsion management for open apex teeth with an extraoral dry time of less than 60 minutes?

To initiate endodontic treatment with an intracanal medicament Signup and view all the answers

What is the term for the normal or excessive occlusal forces that are applied without the patient's awareness?

Unobserved trauma Signup and view all the answers