Which extra timepoints are added?
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.
Two replanted incisors need follow-up scheduling: Tooth P has a closed apex (mature root), and Tooth Q has an open apex (immature root). Both were replanted within guidelines. The follow-up schedule for Tooth Q (open apex) includes additional visits compared to closed apex. Which extra timepoints are added?
- A. Weekly visits for the first month, then transitioning to the standard closed-apex schedule
- B. Additional visits at 6 weeks and 8 weeks, which are not in the closed-apex follow-up timeline
- C. Extra visits at 2 months and 4 months, replacing the standard 3-month and 6-month checkpoints
- D. Additional visits at 1 month, 2 months, and 3 months — due to higher risk of rapid resorption
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Show the answer and cited explanation
Open apex follow-up: 2wk, 1mo, 2mo, 3mo, 6mo, 1yr, yearly ×5. Closed apex: 2wk, 4wk, 3mo, 6mo, 1yr, yearly ×5. The extra 1mo, 2mo, 3mo visits reflect the higher risk of rapid infection-related resorption in children. SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 11
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