ADC Practice Question — Endodontic Considerations

When should the corticosteroid/antibiotic paste for Tooth Y be placed?

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.

Two replanted closed-apex incisors in the same patient. Tooth X will receive calcium hydroxide. Tooth Y will receive a corticosteroid/antibiotic paste. The dentist reviews timing for each. When should the corticosteroid/antibiotic paste for Tooth Y be placed?

A. At the same 2-week appointment as the calcium hydroxide for Tooth X
B. Immediately or shortly after replantation — not delayed to the 2-week RCT appointment
C. Only after radiographic evidence of inflammatory resorption appears at 3-month follow-up
D. At the splint removal appointment, after confirming the tooth position is stable

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Sources cited

Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more

Show the answer and cited explanation

Correct answer: B

IADT: 'If a corticosteroid or corticosteroid/antibiotic mixture is chosen, it should be placed immediately or shortly after replantation.' This contrasts with Ca(OH)2 which goes in at the 2-week RCT appointment. SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 10

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 10

Remy's study tip — Trauma questions hinge on: tooth maturity (open vs closed apex), time out of mouth, storage medium, and fracture type.

Exam preparation FAQ

Should I memorise guidelines word-for-word for Endodontic Considerations?

Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.

How are Endodontic Considerations questions structured in the ADC written exam?

ADC Endodontic Considerations questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Every answer, traced to the source.

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