Rosh Review EM Scholar Monthly Question

A 5-year-old boy is brought in by his parent for a dental injury. The patient was walking his dog when it ran after a squirrel. The patient was pulled forward, causing him to hit his tooth on the asphalt. His parent noticed a dental problem and immediately brought the patient to the ED. The physical exam is shown below. Which of the following is the best next recommendation?

  1. Follow up with the dentist in the morning
  2. Reinsert the tooth and avoid solid food
  3. Reinsert the tooth and stabilize it with a bridge
  4. Remove the tooth and repair the gingival laceration
  5. Remove the tooth and wrap it in saline-soaked gauze

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References

  1. Day PF, Flores MT, O’Connell AC, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2020;36(4):343–359. https://www.aapd.org/media/policies_guidelines/e_injuries.pdf
  2. Goswami M, Aggarwal T. Prevalence of traumatic dental injuries among 1- to 14-year-old children: a retrospective study. Int J Clin Pediatr Dent. 2021;14(4):467–470. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585904

Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Cite this article as: Rosh Review Author Team, "Rosh Review EM Scholar Monthly Question", REBEL EM blog, October 23, 2023. Available at: https://rebelem.com/rosh-review-em-scholar-monthly-question-6/.

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