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?
- Follow up with the dentist in the morning
- Reinsert the tooth and avoid solid food
- Reinsert the tooth and stabilize it with a bridge
- Remove the tooth and repair the gingival laceration
- Remove the tooth and wrap it in saline-soaked gauze
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References
- 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
- 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/.