CASE — Basketball trauma. A PRIMARY central incisor is luxated, about to exfoliate, and the radiograph shows the permanent successor nearly erupted. The best management of the luxated primary tooth is:

Correct answer: B. Extraction

• A. Splinting a near-exfoliating primary tooth over an erupting successor is not warranted.
• B. Correct. A severely luxated, near-exfoliating primary tooth with the permanent tooth nearly erupted should be extracted (also avoids aspiration risk).
• C. Pulpotomy is for a restorable primary tooth, not one about to exfoliate.
• D. Leaving a mobile, displaced tooth poses an aspiration/interference risk.