ADC Practice Question — Follow-up, Outcomes & Long-term Care

Is it possible for both inflammatory and replacement resorption to occur in the same tooth?

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.

At 4-month follow-up of a replanted incisor, the radiograph shows both a periapical radiolucency (suggesting infection) AND areas where root appears to be fusing with surrounding bone (suggesting ankylosis). The patient asks if this means the tooth is lost. Is it possible for both inflammatory and replacement resorption to occur in the same tooth?

A. No — inflammatory and replacement resorption are mutually exclusive pathological processes
B. No — if one type is present, it suppresses the biological pathway for the other type entirely
C. Yes — the IADT specifically notes that the two types of resorption may occur concurrently
D. Yes — but only in teeth that were stored in water, which triggers both pathways simultaneously

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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: C

IADT: 'It is worth noting that the two types of resorption may occur concurrently.' Inflammatory resorption is infection-driven (treatable with endodontics), while replacement resorption reflects PDL necrosis (progressive, irreversible). SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 11

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 11

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

How do I approach an unfamiliar Follow-up, Outcomes & Long-term Care vignette?

Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

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