Difference between revisions of "Dental subluxation"

(Clinical Features: minor edit)
(Management)
Line 13: Line 13:
 
==Management==
 
==Management==
 
===Extrusive Luxation===
 
===Extrusive Luxation===
 +
*(tooth is moved partially out of the socket)
 
*Reposition tooth
 
*Reposition tooth
 
*Follow up within 24hr for stabilization
 
*Follow up within 24hr for stabilization
Line 18: Line 19:
  
 
===Lateral Luxation===
 
===Lateral Luxation===
 +
*(tooth displaced in a direction other than inward or outward)
 
*More extensive injury than extrusive luxation
 
*More extensive injury than extrusive luxation
 
**Associated with cracking or fracture of the surrounding alveolar bone
 
**Associated with cracking or fracture of the surrounding alveolar bone
Line 25: Line 27:
  
 
===Intrusive Luxation===
 
===Intrusive Luxation===
 +
* (tooth is forced inward into the socket)
 
*Most serious because of significant damage to alveolar socket and periodontal ligament
 
*Most serious because of significant damage to alveolar socket and periodontal ligament
 
*Allow tooth to erupt on its own
 
*Allow tooth to erupt on its own

Revision as of 23:23, 18 July 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

Other

Evaluation

Management

Extrusive Luxation

  • (tooth is moved partially out of the socket)
  • 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

  • (tooth displaced in a direction other than inward or outward)
  • 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

  • (tooth is forced inward into the socket)
  • Most serious because of significant damage to alveolar socket and periodontal ligament
  • Allow tooth to erupt on its own

Disposition

See Also

References