At 25 minutes dry, what is the biological status of the PDL cells on this tooth?
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A parent calls the dental clinic asking for advice. Their child's tooth was knocked out 25 minutes ago and has been sitting on the kitchen table unwrapped since. They have milk at home. At 25 minutes dry, what is the biological status of the PDL cells on this tooth?
- A. Most PDL cells are already non-viable — the 30-minute threshold is nearly reached
- B. Most PDL cells are still viable since the critical threshold of 60 minutes has not been reached
- C. PDL cells are likely significantly compromised but not yet at the point of majority cell death
- D. PDL cell viability cannot be estimated from dry time alone — it depends on temperature and humidity
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Show the answer and cited explanation
IADT: 'After an extra-alveolar dry time of 30 minutes, most PDL cells are non-viable.' At 25 minutes, the tooth is approaching but has not crossed this biological threshold — cells are compromised but not majority-dead. Placing in milk NOW is critical. SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3
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