ADC Practice Question — Follow-up, Outcomes & Long-term Care

Can inflammatory and replacement resorption occur simultaneously in the same replanted tooth?

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.

At 6-month review, a replanted upper central incisor produces a distinctly high-pitched metallic sound on percussion. The tooth has no mobility. Radiographs show absence of periodontal ligament space with root structure being replaced by bone-like density. Can inflammatory and replacement resorption occur simultaneously in the same replanted tooth?

A. Yes — the IADT notes that these two types of resorption may occur concurrently in a tooth
B. No — they represent mutually exclusive pathological processes with different aetiologies
C. Only in open-apex teeth where the immature root is susceptible to both processes at once
D. Only if the tooth was stored in water, which triggers both inflammatory and replacement events

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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: A

IADT: 'It is worth noting that the two types of resorption may occur concurrently.' Inflammatory resorption is infection-driven (manageable with endodontics), while replacement resorption reflects non-viable PDL (progressive, irreversible). SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 11

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 11

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

How should I prepare for Dental Traumatology in the ADC exam?

Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.

How do I approach an unfamiliar Follow-up, Outcomes & Long-term Care vignette?

Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

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