Endodontics · single question

A mature permanent incisor is severely intruded into the socket after trauma. Which management approach is appropriate?

  1. Reposition (orthodontically or surgically) and plan endodontic therapy, because pulp necrosis is very likely
  2. Always leave it and expect spontaneous re-eruption in adults
  3. Extract it routinely
  4. No follow-up is needed
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Correct answer: A. Reposition (orthodontically or surgically) and plan endodontic therapy, because pulp necrosis is very likely

Intrusion carries the highest risk of pulp necrosis and root resorption. Immature teeth may re-erupt spontaneously, but mature or severely intruded teeth require active repositioning and typically endodontic treatment (often with calcium hydroxide) to prevent inflammatory resorption; close follow-up is essential.Other options: Adults' severely intruded mature teeth usually do not re-erupt adequately; routine extraction is not first-line; monitoring is required.Key exam takeaway: Intrusion has the worst prognosis; reposition and expect root canal therapy in mature teeth, while immature teeth may re-erupt.

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