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Q | Situation | Correct answer |
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1 | If a case of uncomplicated crown fracture (without pulp exposure) of the central incisor with a mature apex came to your clinic, the immediate treatment would be | If a tooth fragment is available, it can be bonded to the tooth; otherwise, cover the exposed dentin with glass ionomer or composite dressing |
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2 | If there is a case of root fracture that is near the cervical area of the tooth with a mature apex, the immediate treatment would be | Reposition the displaced coronal segment of the tooth as soon as possible, stabilize the tooth with a flexible splint up to 4 months, and follow-up if pulp necrosis develops, and root canal treatment of the coronal tooth segment to the fracture line is indicated to preserve the tooth |
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3 | If a case with an intruded tooth that shows an open apex on the radiograph came to your clinic, the treatment would be | Allow eruption without intervention, and if no movement within few weeks, initiate orthodontic or surgical repositioning |
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4 | If a case with extrusive luxation of a mature tooth came to your clinic, the immediate treatment would be | Immediate repositioning and splinting for 2 weeks |
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5 | If a case with enamel-dentin-pulp fracture of the central incisor with an immature apex came to your clinic and the trauma occurred 3 hours ago, the immediate treatment would be | Preserve pulp vitality by pulp capping or partial pulpotomy |
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6 | If a case with alveolar bone fracture in a 17-year-old boy, who fell off his bike two hours ago, with a mobile fractured segment and several teeth moving together that causes malocclusion came to your clinic, how would you manage? | Reposition any displaced segment, suture gingival laceration if present, and stabilize the segment for 4 weeks |
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7 | A 26-year-old patient came to your clinic complaining of a tender tooth while touching or tapping due to blow from a kid’s toy. Upon examination, the tooth has no increased mobility and sensibility tests give normal results and you diagnose the case with concussion. How would you manage? | No treatment is needed; just monitor the pulpal condition for at least one year |
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8 | A 45-year-old patient received a blow to his face from a basketball that caused his front tooth to be displaced lingually. The tooth is immobile, and upon percussion, it gives a metallic sound and negative response to sensibility tests. You diagnosed the case with lateral luxation. How would you manage? | Reposition the tooth to disengage it from its bony lock and gently reposition it into its original location. Stabilize the tooth for 4 weeks and monitor the pulpal condition |
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