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ADC Practice Question — First Aid & PDL Cell Viability

Classify each tooth into a PDL group: Tooth 1 (HBSS,…

Dental trauma questions test protocol-level decisions — splint type, duration, follow-up timing — where one wrong detail means a wrong answer. This high-difficulty vignette tests your ability to work through clinical details and arrive at the correct management.

Three teeth arrive at the emergency clinic simultaneously from different patients: Tooth 1 was in HBSS (Save-a-Tooth kit) for 55 minutes after 3 minutes dry. Tooth 2 was in the patient's saliva (spit into cup) for 20 minutes after 25 minutes dry. Tooth 3 was wrapped in a wet paper towel for 65 minutes. All are closed apex. Classify each tooth into a PDL group: Tooth 1 (HBSS, 3min dry), Tooth 2 (saliva, 25min dry), Tooth 3 (wet towel, 65min).

  • A. All three are Group 2 — any tooth stored in any medium with total time under 90 minutes qualifies
  • B. Tooth 1 = Group 2, Tooth 2 = Group 2, Tooth 3 = Group 3 — wet towel is not a recognized storage medium and dry time exceeds 60 minutes
  • C. Tooth 1 = Group 1 (HBSS is equivalent to replantation), Tooth 2 = Group 2, Tooth 3 = Group 2 (wet towel counts as storage)
  • D. Tooth 1 = Group 2, Tooth 2 = Group 3 (25 minutes dry exceeds 30-minute viability), Tooth 3 = Group 3
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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: B

Integration: (1) Group 2 = stored in medium + total dry <60min: Tooth 1 (HBSS, 3min dry ✓) and Tooth 2 (saliva, 25min dry ✓). (2) Group 3 = >60min dry regardless of medium: Tooth 3 (65min in wet towel — not a recognized medium, and total time >60). (3) 30-min PDL viability threshold ≠ 60-min group classification threshold. SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3
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

Should I memorise guidelines word-for-word for First Aid & PDL Cell Viability?
Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.
How are First Aid & PDL Cell Viability questions structured in the ADC written exam?
ADC First Aid & PDL Cell Viability questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Every answer, traced to the source.

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