ADC Practice Question — Splinting, Antibiotics & Anesthesia

What does the IADT recommend?

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.

A replanted incisor has been splinted for 2 weeks. At the splint removal appointment, the dentist checks the tooth's stability. The tooth shows some mobility and the patient reports mild discomfort when biting. After removing the splint, the tooth is mobile. What does the IADT recommend?

A. Re-splint immediately for an additional 4 weeks using a rigid splint to ensure full PDL healing
B. Extract the tooth immediately — any residual mobility at the 2-week mark indicates failed periodontal healing overall
C. No additional intervention — some mobility after splint removal is expected and should be monitored
D. An additional week of splinting is appropriate ONLY if opposing dentition trauma or positioning issues exist

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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: 'The patient and parent should be advised that on removal of the splint, the injured tooth may be mobile. An additional week of splinting is appropriate only if excessive trauma from the opposing dentition might further traumatize the tooth or if the avulsed tooth is unable to remain in the correct position.' SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 8

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 8

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 Splinting, Antibiotics & Anesthesia?

Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.

How are Splinting, Antibiotics & Anesthesia questions structured in the ADC written exam?

ADC Splinting, Antibiotics & Anesthesia questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

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