At a follow-up visit, which finding would confirm successful revascularization?
Dental trauma questions test protocol-level decisions — splint type, duration, follow-up timing — where one wrong detail means a wrong answer. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.
An 8-year-old girl avulsed her upper right central incisor (open apex, incompletely developed root) 25 minutes ago. The tooth was stored in milk. After replantation, the dentist considers whether to start endodontic treatment. At a follow-up visit, which finding would confirm successful revascularization?
- A. Complete absence of any radiographic change in the root canal space over 12 months
- B. The tooth responds normally to electric pulp testing and cold sensitivity assessment
- C. Root resorption has arrested and the tooth is now ankylosed with a metallic percussion tone
- D. Continued root formation visible radiographically, with expected pulp canal obliteration
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IADT favorable outcome, open apex: 'Radiographic evidence of continued root formation and tooth eruption. Pulp canal obliteration is expected and can be recognized radiographically sometime during the first year. It is considered to be the mechanism by which the pulp heals after replantation.' SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 11.2.2
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