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

These findings are most consistent with which type of resorption?

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. These findings are most consistent with which type of resorption?

A. Infection-related inflammatory resorption driven by bacteria in the necrotic pulp tissue
B. Ankylosis-related replacement resorption — root replaced by bone, metallic percussion tone
C. Surface resorption — a transient self-limiting process that resolves without any treatment
D. Internal resorption — granulomatous tissue within the pulp canal resorbing from the inside

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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: 'Radiographic absence of periodontal ligament space, the replacement of root structure by bone, together with a metallic sound to percussion, should be interpreted as ankylosis-related (replacement) resorption.' 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

Should I memorise guidelines word-for-word for Follow-up, Outcomes & Long-term Care?

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

How are Follow-up, Outcomes & Long-term Care questions structured in the ADC written exam?

ADC Follow-up, Outcomes & Long-term Care questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

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These findings are most consistent with which type of resorption?

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