ADC Practice Question — Replantation Protocols — Closed & Open Apex

After confirming position clinically and radiographically, what is the correct COMPLETE sequence of remaining clinical steps?

Dental trauma questions test protocol-level decisions — splint type, duration, follow-up timing — where one wrong detail means a wrong answer. This high-difficulty vignette tests your ability to work through clinical details and arrive at the correct management.

A dentist has just replanted a closed-apex incisor for a 16-year-old (Group 2, stored in milk 40 minutes, no fractures, no allergies). The tooth is correctly positioned. The dentist must now execute every remaining step of the clinical protocol in the correct sequence. After confirming position clinically and radiographically, what is the correct COMPLETE sequence of remaining clinical steps?

A. Splint → antibiotics → tetanus check → suture lacerations → schedule RCT → post-op instructions → follow-up
B. Splint → suture lacerations → initiate RCT today → antibiotics → post-op instructions → follow-up
C. Splint → suture lacerations → schedule RCT within 2 weeks → antibiotics → tetanus check → post-op instructions → follow-up schedule
D. Antibiotics first → splint → suture → RCT today → tetanus → post-op instructions → follow-up

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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: C

Integration: Sec 3.1.2 lists steps 10-16 in exact order: (10) splint flexible 2wk, (11) suture lacerations, (12) RCT within 2 weeks, (13) antibiotics, (14) tetanus, (15) post-op instructions, (16) follow-up. Six steps in the correct sequence. SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3.1.2, items 10-16

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3.1.2

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

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How do I approach an unfamiliar Replantation Protocols — Closed & Open Apex 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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After confirming position clinically and radiographically, what is the correct COMPLETE sequence of remaining clinical steps?

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