40 Questions
What percentage of laxative injuries result in pulp canal obliteration?
30% to 44%
What is the primary goal of emergency management at the accident site for tooth avulsion?
To replace the tooth in the socket or partly into the socket
What is the recommended treatment for lateral luxation in mature teeth?
Root canal therapy should be initiated as early as 2 weeks after the injury
What is the recommended treatment for intrusive luxation in immature teeth?
The tooth should be repositioned orthodontically or with sudden forceps adjustment
What is the purpose of using a storage medium for avulsed teeth?
To maintain the periodontal ligament in a viable state
What is the recommended management for concussion and subluxation?
The tooth should be monitored regularly for signs of pulp necrosis
What is the definition of avulsion?
The tooth is completely displaced from its socket
What is the recommended time frame for semirigid fixation in cases of avulsion with alveolar fractures?
4 to 8 weeks
What is the primary goal of splinting in traumatic dental injuries?
To allow for physiologic movement of the tooth during healing
What is the recommended management for intrusion in mature teeth?
Root canal therapy should be initiated as early as 2 weeks after the injury
Why is it essential to verify the position of the replanted tooth with a radiograph?
To serve as a reference for follow-up
What is the primary purpose of prescribing systemic antibiotics in the management of avulsion injuries?
To prevent bacterial invasion of the necrotic pulp
What is the mechanism by which tetracycline helps reduce root resorption?
By inhibiting the motility of osteoclasts
What is the recommended management of soft tissue lacerations in the socket?
Suturing them after thorough wound cleaning
What is the primary objective of adjusting the bite after tooth replantation?
To prevent traumatic occlusion
What type of fixation is recommended for dental avulsion injuries?
Semirigid fixation
What is the main goal of replanting the root in open apex avulsion management?
To revascularize the pulp
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
What is the optimal extraoral dry time for avulsion management?
15-20 minutes
What is the benefit of using enamel matrix protein (Emdogain) in avulsion management?
Makes the root more resistant to resorption
What is the recommended treatment for the socket in avulsion management?
Gentle saline rinsing to remove debris
What is the purpose of soaking the root in fluoride in avulsion management?
To strengthen the root
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
What is the benefit of revascularization of the pulp in open apex avulsion management?
Continued root development
What is the primary factor that affects the treatment plan for traumatic injuries?
All of the above
What is the recommended treatment approach for lateral luxation?
Repositioning and stabilizing the tooth
What is the primary goal of apex closure in traumatized immature teeth?
To achieve root development
What is the recommended management approach for avulsion emergency?
Immediate reimplantation and splinting
What is the primary complication of intrusive luxation?
Pulp necrosis
What is the recommended treatment approach for intrusive luxation?
Root canal therapy within 2-4 weeks
What is the primary goal of pulp revascularization?
To regenerate pulp tissue
What is the recommended reading material for understanding traumatic injuries and their management?
All of the above
What is the primary focus of the second visit in avulsion management?
Prevention or elimination of irritants from the root canal space
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
What is the term for the replacement of the root and cementum with bone, leading to tooth loss?
Ankylosis
What is the primary challenge in diagnosing cracks and fractures?
The lack of radiographic manifestation in the early stages
What is the purpose of using a flexible probe in diagnosing vertical root fractures?
To cause pressure blanching of the surrounding tissues
What is the term for a partial discontinuity in a material that may propagate and lead to a complete discontinuity?
Crack
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
What is the term for the normal or excessive occlusal forces that are applied without the patient's awareness?
Unobserved trauma
Learn about the classification of traumatic injuries and their impact on the pulp. Discover how to manage traumatic injuries and the factors that affect treatment plans, including apex closure and immature teeth.
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