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Endodontics · single question

After dental trauma in an ADULT patient, which statement is TRUE?

  1. Adult teeth have a higher risk of pulp necrosis than primary (children's) teeth after trauma
  2. Children's primary and permanent teeth have the same risk of necrosis after trauma
  3. After trauma, the appropriate management is to monitor the tooth for signs of pulp necrosis
  4. Immediate root canal treatment is always required after traumatic dental injury
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Correct answer: C. After trauma, the appropriate management is to monitor the tooth for signs of pulp necrosis

After traumatic dental injury, the appropriate management for most luxation injuries and uncomplicated crown fractures is to monitor the tooth at defined intervals for signs of pulp compromise (percussion sensitivity, periapical changes, color change, EPT response). Root canal treatment is NOT performed immediately unless there is an actual pulp exposure or documented necrosis. Children's permanent teeth with open apices have better revascularization potential, so monitoring is especially appropriate. Adults have LESS revascularization potential, making necrosis more likely — but treatment is still deferred until confirmed.

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