VIP

Back

Start

Next

Treatment guidelines for luxated permanent teeth

Concussion

Subluxation

Lateral luxation

Intrusion

Extrusion

DIAGNOSIS

Clinical findings

Tooth tender to touch.

Tooth is mobile.

The tooth is displaced laterally and is forced into the bony part of the socket.

Tooth is displaced deeper into the alveolar bone. Percussion test: high metallic sound.

Elongated mobile tooth.

Clinical -Radiographic assessment and findings

Take one radiograph (2).
No radiographic abnormalities will be found.

Take three radiographs.
Extra radiographs taken with different angulations can be useful

Take four radiographs (1-4)
Increased periodontal space apically is best seen on occlusal exposure.

Take four radiographs (1-4)

Take four radiographs (1-4)
Increased periodontal ligament width

TREATMENT


A flexible splint can be used for the comfort of the patient for 7-10 days (x)

A flexible splint can be used for the comfort of the patient for 7-10 days (x)

Reposition the tooth into normal position. Stabilize the tooth with a splint for 3 weeks (xx). In case of marginal bone breakdown, usually observed after 3 weeks, add 3-4 weeks extra splinting time

Slightly luxate the tooth with forceps (xx). Spontaneous reposition awaited (teeth with uncompleted root formation) (xx)
Orthodontic repositioning (teeth with completed root formation) (xx) or surgical reposition is performed (xx). In case of completed root formation, perform prophylactic extirpation of the pulp after 2-3 weeks.

Repositioning Stabilize the tooth with a splint for 2-3 weeks (xx)

Patient instruction

Soft diet
Brush teeth with a soft toothbrush after each meal
Use chlorhexidine mouthrinse (0.1%) twice a day for 2 weeks
Follow up (see Table)


(1)Occlusal - (2)Periapical central angle - (3)Periapical mesial excentric - (4)Periapical distal excentric

Back

Start

Next

Disclaimer - ©2001 Copyright - Science Communication Service