What does the IADT recommend?
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.
A 14-year-old's avulsed incisor has been replanted. The patient has a documented penicillin allergy (anaphylaxis). The dentist considers alternative antibiotics. Amoxicillin is contraindicated due to the penicillin allergy. What does the IADT recommend?
- A. No antibiotics at all — systemic antibiotics are only recommended for non-allergic patients
- B. Metronidazole — it is the specific named alternative for penicillin-allergic patients in the guidelines
- C. Alternative antibiotics should be considered — the guidelines do not name a specific second-line drug
- D. Tetracycline — it is the only alternative with evidence supporting anti-resorptive properties
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Show the answer and cited explanation
IADT: 'Amoxicillin or penicillin remain the first choices. Alternative antibiotics should be considered for patients with an allergy to penicillin.' The guidelines do not name a specific alternative. SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 5
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