ADC Practice Question — Replantation Protocols — Closed & Open Apex

Given these findings, should endodontic treatment be initiated?

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's open-apex upper left central incisor was replanted 3 weeks ago. At follow-up, the dentist notes the tooth is asymptomatic, has normal mobility, and radiographs show no periapical radiolucency. The root canal appears slightly narrower than at the baseline radiograph. Given these findings, should endodontic treatment be initiated?

A. Yes — all replanted teeth require root canal treatment within 2 weeks regardless of apex status
B. Yes — canal obliteration will make future endodontic access impossible, so treat preventively now
C. No — continued root development and canal obliteration indicate successful revascularization
D. No — but only because the child is too young for root canal treatment at age 8

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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

IADT: 'Endodontic treatment should not be initiated unless there are definite signs of pulp necrosis and infection of the root canal system.' Canal narrowing = healing, not pathology. SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3.2.1

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3.2.1

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 are Replantation Protocols — Closed & Open Apex questions structured in the ADC written exam?

ADC Replantation Protocols — Closed & Open Apex questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Should I memorise guidelines word-for-word for Replantation Protocols — Closed & Open Apex?

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

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Given these findings, should endodontic treatment be initiated?

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