INBDE (Integrated National Board Dental Examination) Practice Exam

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What is the recommended treatment for an intruded permanent tooth with an open apex?

Closely monitored
Repositioned orthodontically
Splinted
Primary endo

The correct answer is: Closely monitored

For an intruded permanent tooth with an open apex, the recommended treatment is to closely monitor the tooth. This is because in cases where the tooth has an open apex, the root of the tooth is not fully formed yet. In such situations, the tooth has the potential to continue root development and possibly re-erupt spontaneously over time. Therefore, closely monitoring the tooth allows the dentist to observe its progress and determine if any further intervention is necessary based on the tooth's response to the intrusion. While options B, C, and D may be appropriate for other types of dental injuries, in the case of an intruded permanent tooth with an open apex, closely monitoring the tooth is the preferred initial approach before considering more aggressive treatment options.