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An 8-year-old boy received a traumatic injury to a maxillary central incisor. One day later, the tooth failed to respond to electric and thermal vitality tests. This finding dictates

A. pulpectomy.
B. apexification.
C. calcium hydroxide pulpotomy.
D. delay for the purpose of re-evaluation.

User Grig
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1 Answer

6 votes

Final answer:

For an 8-year-old boy with a non-responsive incisor following trauma, instead of immediate invasive procedures, the recommended action is to delay for the purpose of re-evaluation to see if the tooth recovers its vitality.

Step-by-step explanation:

The question you've asked pertains to an 8-year-old boy who has suffered a traumatic injury to a maxillary central incisor. When a tooth does not respond to electric and thermal vitality tests a day after trauma, it may suggest that the nerve within the tooth has been damaged or is no longer vital. The immediate lack of response does not always dictate that a pulpectomy or other immediate invasive intervention is required. Instead, the best course of action in such a case is often to delay for the purpose of re-evaluation. A tooth can sometimes recover its vitality, and a transient loss of responsiveness to vitality tests can occur due to trauma. Invasive treatments like pulpectomy, apexification, or a calcium hydroxide pulpotomy may be considered if the lack of vitality persists over time and is confirmed through additional testing and evaluations.

User David Gelhar
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