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Dentistry · Dental trauma
Sample itemWhat is the appropriate immediate action for an avulsed permanent incisor when replantation is feasible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Handle by the crown, rinse gently, and replant or store in milk promptly
Avulsed permanent teeth have a better prognosis when the periodontal ligament is protected by crown handling, gentle rinsing, rapid replantation, or suitable storage medium.
Option by option
A. Handle by the crown, rinse gently, and replant or store in milk promptly (correct)
Correct: preserving periodontal ligament cells improves replantation outcome.
B. Discard the tooth because replantation never succeeds
Prompt replantation can often be successful.
C. Place the tooth in concentrated alcohol
Alcohol damages living periodontal ligament cells.
D. Scrub the root with a brush and leave it dry
Scrubbing damages periodontal ligament cells on the root.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.