Dental subluxation: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Tooth is mobile but is still in original anatomic position | *Tooth is mobile but is still in original anatomic position | ||
*If multiple consecutive teeth are involved, rule out underlying alveolar ridge | *If multiple consecutive teeth are involved, rule out underlying alveolar ridge fracture or other [[Mandible fracture]] | ||
fracture or other [[Mandible fracture]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 14:58, 8 June 2017
Background
Clinical Features
- Tooth is mobile but is still in original anatomic position
- If multiple consecutive teeth are involved, rule out underlying alveolar ridge fracture or other Mandible fracture
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
Evaluation
Management
Extrusive Luxation
- Reposition tooth
- Follow up within 24hr for stabilization
- Temporizing measure: Periodontal pack (e.g.-Coe-Pak) 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
- 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
- Allow tooth to erupt on its own