INBDE (Integrated National Board Dental Examination) Practice Exam

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What is the advised treatment for a complicated crown fracture and root resorption in a primary tooth?

  1. Extraction

  2. Pulpectomy

  3. Splint

  4. Antibiotics

The correct answer is: Extraction

Complicated crown fracture and root resorption in a primary tooth typically requires the extraction of the affected tooth. This is because the tooth is unable to heal itself and there is a risk of infection spreading to adjacent teeth if the tooth is not removed. Pulpectomy, which is the removal of the pulp tissue inside the tooth, may also be suggested but it is usually reserved for less severe cases. Splints are used to stabilize loose teeth but are not a treatment for a complicated crown fracture. Antibiotics may only be prescribed if there is an active infection present, but they will not treat the root resorption itself. Therefore, extraction is the advised treatment for a complicated crown fracture and root resorption in a primary tooth.