Pediatric Dentistry · single question

A young child sustains an intrusion injury to a primary tooth; there is no pain and the degree of intrusion is mild. The recommended management is to:

  1. Monitor — allow spontaneous re-eruption
  2. Extract the tooth immediately
  3. Reposition surgically and splint
  4. Start root canal therapy
Show answer and explanation

Correct answer: A. Monitor — allow spontaneous re-eruption

  • A. Correct. Mildly intruded primary teeth (and many immature/intruded teeth) are typically left to re-erupt spontaneously with monitoring, provided the developing permanent tooth bud is not impinged.
  • B. Immediate extraction is not indicated for a mild intrusion without complications.
  • C. Surgical repositioning/splinting is not the first choice for a mild primary intrusion.
  • D. Root canal therapy is not indicated unless pulp necrosis later develops.

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