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Dentistry · Dental trauma: avulsion
Sample itemA permanent incisor is avulsed during sport and is visibly dirty. What is the best immediate handling advice if reimplantation is feasible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Handle by the crown, gently rinse, and reimplant or store in suitable medium promptly
For an avulsed permanent tooth, periodontal ligament cells should be protected: handle the crown, avoid scraping the root, rinse briefly if needed, and reimplant promptly or store in a suitable medium while seeking urgent dental care.
Option by option
A. Scrub the root vigorously and leave it dry
Scrubbing and drying destroy root surface cells needed for healing.
B. Discard the tooth because reimplantation is never indicated
Permanent teeth may be replanted; primary teeth are generally not replanted.
C. Handle by the crown, gently rinse, and reimplant or store in suitable medium promptly (correct)
Correct. This minimizes damage to viable periodontal ligament cells.
D. Store it in concentrated alcohol
Alcohol damages periodontal ligament cells.
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.
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