Afghanistan Dental Exit Exam Practice Questions - Afghanistan Dental Exit Exam (AMC Government Exit Exam - Stomatology) Exam

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A 28-year-old male presents with severe pain and throbbing in the lower right quadrant 3 days following the uncomplicated extraction of tooth #46 (mandibular right first molar). On examination, the extraction socket is empty, devoid of a healthy blood clot, and the alveolar bone walls are exposed and exquisitely tender to gentle probing. There is noticeable halitosis, but no fever, lymphadenopathy, or facial swelling. What is the most appropriate initial management?

Irrigate the socket gently with warm saline and place an obtundent dressing containing eugenol without curetting the bone Vigorously curette the alveolar socket under local anesthesia to induce fresh bleeding and form a new blood clot Prescribe high-dose oral amoxicillin/clavulanic acid and schedule surgical debridement of necrotic bone Pack the socket tightly with resorbable gelatin sponge soaked in 10% povidone-iodine and suture the gingival margins

Correct Answer:

Irrigate the socket gently with warm saline and place an obtundent dressing containing eugenol without curetting the bone

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