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1.
Med-Challenger PEDS
Comprehensive Review and Assessment for
Pediatricians
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Issue: December 1, 2006
Case: Dental and Oral Disorders
Taken from
Med-Challenger PEDS
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Question:
An 8-year-old boy avulsed a tooth in a bicycle
accident in which he ran into a fence. His left upper incisor is
avulsed. Appropriate steps include all of the following EXCEPT:
Answer Options:
- X-rays should be taken to exclude displacement of a
missing tooth into the gingiva or alveolar bone and late
complications thereof.
- Advise his parent or guardian to immediately rinse the tooth (after
covering the drain!) and replace in the socket; if
unsuccessful, place the tooth in the cheek pouch or a glass
of milk. Instruct the patient to go immediately to the
dentist or emergency department.
- Scrub the tooth with sterile gauze.
- Rinse root under a saline stream, evacuate socket clots,
and reimplant.
- Primary tooth: reimplantation is not required and may
result in ankylosis.
Answer:
C
Remediation:
To avoid loss of
viable periodontal cells, do not scrub the tooth.
About the Image(s):
Image 1:
Dental Avulsion
This child's avulsed tooth had been precariously
restored to its socket.
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