INBDE (Integrated National Board Dental Examination) Practice Exam

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What is the treatment for a complicated fracture more than 24 hours old?

  1. direct pulp cap

  2. Cveck

  3. pulpotomy

  4. apexification

The correct answer is: Cveck

A complicated fracture that is more than 24 hours old is considered a case of delayed treatment. In such a case, a Cveck procedure (option B) is the recommended treatment. This involves cleaning the fracture site and sealing it with a root canal filling material. Options A, C, and D are not suitable treatments for a complicated fracture that has been left untreated for more than 24 hours. Direct pulp cap (option A) is only effective if the fracture is less than 24 hours old. Pulpotomy (option C) involves removing a portion of the pulp, and this is not a suitable treatment for a complicated fracture. Apexification (option D) is a procedure where calcium hydroxide is used to stimulate root growth, but this is not recommended for fractures that are more than 24 hours old.