ADC Practice Question — Splinting, Antibiotics & Anesthesia

Amoxicillin is contraindicated due to the penicillin…

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 14-year-old's avulsed incisor has been replanted. The patient has a documented penicillin allergy (anaphylaxis). The dentist considers alternative antibiotics. Amoxicillin is contraindicated due to the penicillin allergy. What does the IADT recommend?

A. No antibiotics at all — systemic antibiotics are only recommended for non-allergic patients
B. Metronidazole — it is the specific named alternative for penicillin-allergic patients in the guidelines
C. Alternative antibiotics should be considered — the guidelines do not name a specific second-line drug
D. Tetracycline — it is the only alternative with evidence supporting anti-resorptive properties

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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: 'Amoxicillin or penicillin remain the first choices. Alternative antibiotics should be considered for patients with an allergy to penicillin.' The guidelines do not name a specific alternative. SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 5

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 5

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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Amoxicillin is contraindicated due to the penicillin…

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