A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a parent. An exam reveals three front teeth are missing. Imaging studies are negative for facial fractures. What is the recommended treatment?

Choice A reason: Tetracycline is contraindicated in children under 8 years due to the risk of permanent tooth discoloration and enamel hypoplasia. It should not be used in this case. Choice B reason: Immediate dental evaluation is essential to assess the extent of trauma, determine the type of teeth lost (primary vs. permanent), and initiate appropriate management. This is the safest and most appropriate first step. Choice C reason: Reimplantation is only indicated for avulsed permanent teeth. In a 5-year-old, the avulsed teeth are likely primary, and reimplantation is not recommended due to risk of damage to developing permanent teeth. Choice D reason: Removing teeth and placing them in saline is appropriate for avulsed permanent teeth, not primary teeth. This step is unnecessary and potentially harmful in this age group.