INBDE (Integrated National Board Dental Examination) Practice Exam

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Ace your INBDE with our comprehensive practice exam. Featuring detailed explanations, interactive flashcards, and a wide array of multiple-choice questions designed to mirror the real test. Get ready to surpass your expectations!

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What is the treatment for immediate pinpoint exposure on a permanent tooth?

  1. Pulpotomy with CaOH

  2. Reposition, splint, monitor closely for vitality

  3. CaOH

  4. Primary endo

The correct answer is: CaOH

For immediate pinpoint exposure on a permanent tooth, the treatment provided in choice C, which is calcium hydroxide (CaOH), is the most appropriate initial step. Calcium hydroxide is commonly used in dental procedures due to its antimicrobial properties, ability to promote the formation of reparative dentin, and its potential to help preserve pulp vitality. In cases of pinpoint exposure, applying calcium hydroxide can help in promoting healing and reducing the risk of pulp infection or necrosis. In contrast, the other options may not be the most suitable treatment for immediate pinpoint exposure on a permanent tooth. A pulpotomy with calcium hydroxide (Choice A) is typically performed in cases of pulp exposure in primary teeth, not permanent teeth. Repositioning the tooth and splinting (Choice B) is more appropriate for tooth avulsion or luxation injuries, not for a pinpoint exposure. Primary endodontic treatment (Choice D) may be considered if the exposure worsens or if symptoms indicate irreversible pulp damage, but it is not the first-line treatment for immediate pinpoint exposure.