Dental subluxation: Difference between revisions
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##Attempt repositioning of tooth | ##Attempt repositioning of tooth | ||
##Apply temporary splinting with periodontal dressing | ##Apply temporary splinting with periodontal dressing | ||
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==Intrusive Luxation== | ==Intrusive Luxation== | ||
Revision as of 23:24, 13 July 2016
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Extrusive Luxation
- Reposition tooth
- Follow up within 24hr for stabilization
- Temporizing measure: Periodontal pack in which tooth is bonded to its two neighboring teeth on both sides
Lateral Luxation
- More extensive injury than extrusive luxation
- Associated with cracking or fracture of the surrounding alveolar bone
- Treatment
- Attempt repositioning of tooth
- Apply temporary splinting with periodontal dressing
- Follow up within 24hr for stabilization
Intrusive Luxation
- Most serious because of significant damage to alveolar socket and periodontal ligament
- Treatment
- Allow tooth to erupt on its own
See Also
References
- ER Atlas