ADC Practice Question — Splinting, Antibiotics & Anesthesia

For 7-year-old Patient Y with only four permanent…

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 patients present with avulsed teeth. Patient X is a 14-year-old with a full permanent dentition and an associated alveolar fracture. Patient Y is a 7-year-old with only four erupted permanent incisors and no alveolar fracture. For 7-year-old Patient Y with only four permanent incisors, which splint material is NOT recommended?

A. Composite resin bonded directly to the labial enamel surfaces of all available permanent teeth
B. Stainless steel wire of 0.016 inch diameter bonded with composite to the permanent incisors
C. A titanium trauma splint device bonded across the available permanent and primary teeth
D. Nylon fishing line — it is not recommended when there are only a few permanent teeth available

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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: D

IADT: 'Nylon (fishing line) splints are not recommended for children when there are only a few permanent teeth for stabilization of the traumatized tooth. This stage of development may result in loosening or loss of the splint.' SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3.1.1, item 6

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 3.1.1

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 should I prepare for Dental Traumatology in the ADC exam?

Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.

How do I approach an unfamiliar Splinting, Antibiotics & Anesthesia 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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