ADC Practice Question — Splinting, Antibiotics & Anesthesia

Should the root be soaked in topical doxycycline before replantation?

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.

Before replanting a 9-year-old's avulsed tooth, a colleague suggests soaking the root in doxycycline solution. Separately, the parent is unsure about the child's tetanus immunisation status. Should the root be soaked in topical doxycycline before replantation?

A. Yes — topical doxycycline is the standard pre-replantation treatment for all avulsed teeth
B. Yes — but only for open-apex teeth where revascularization is the primary treatment goal
C. Yes — the guideline recommends a 5-minute soak in minocycline or doxycycline for all cases
D. No specific recommendation can be made — human studies have failed to show improved outcomes

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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: 'Human studies have failed to demonstrate improved pulp revascularization when teeth are soaked in topical antibiotics. Therefore, a specific antibiotic, duration of use, or methods of application cannot be recommended based on human studies.' SOURCE — Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 6

Source: Fouad AF et al. IADT Avulsion Guidelines, Dent Traumatol 2020;36:331-342, Section 6

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 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.

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.

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Should the root be soaked in topical doxycycline before replantation?

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