Pediatric Dentistry · single question

A patient diagnosed with epilepsy 3 months ago has a fractured tooth #8. What is appropriate before restoring it?

  1. Full-mouth radiographic series only
  2. Immediate extraction
  3. Prophylactic antibiotics
  4. Occlusal analysis to determine whether occlusal forces contributed to the fracture
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Correct answer: D. Occlusal analysis to determine whether occlusal forces contributed to the fracture

  • A. A full series may be useful but does not answer the causative question.
  • B. Extraction is over-treatment for a restorable fractured incisor.
  • C. There is no infection or cardiac indication for antibiotics.
  • D. Correct. Establish why the tooth fractured before restoring. Seizure activity produces violent clenching and possible trauma; if an occlusal interference or parafunction contributed, restoring without addressing it guarantees recurrence — and a night guard may be indicated.

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