ADC Practice Question — Splinting, Antibiotics & Anesthesia

Why is nylon fishing line NOT recommended as the…

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 7-year-old with only four erupted permanent incisors and the remaining primary dentition has had an avulsed upper central incisor replanted. The dentist considers splint material and anesthetic choices. Why is nylon fishing line NOT recommended as the splint material for this patient?

A. Nylon is too rigid for pediatric teeth and would cause pressure necrosis of the enamel surface
B. Nylon has poor biocompatibility and causes allergic gingivitis in children under 10 years of age
C. When there are only a few permanent teeth, nylon splints may loosen or be lost during the healing period
D. Nylon cannot be bonded with composite resin — only stainless steel wire bonds reliably to teeth

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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: 'Nylon (fishing line) splints are not recommended for children when there are only a few permanent teeth for stabilization. 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

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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