Difference between revisions of "Dental subluxation"
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*Follow up within 24hr for stabilization | *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 | *Temporizing measure: Periodontal pack (e.g.-Coe-Pak) in which tooth is bonded to its two neighboring teeth on both sides | ||
| + | **Mix the resin and catalyst paste and apply to completely dry teeth | ||
| + | **May use nasal cannula with oxygen as a air/drying source | ||
| + | **May place gauze rolls in mucobuccal fold to absorb saliva | ||
| + | **Wet or lubricated goves will allow for easier handling | ||
| + | **Apply splinting to the facial side of the teeth, spanning approximately 1-2 teeth in either direction | ||
| + | **Apply the occlusal (biting) surface | ||
===Lateral Luxation=== | ===Lateral Luxation=== | ||
Revision as of 23:45, 18 July 2017
Contents
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
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental caries (pulpitis)
- Ludwig's angina
- Periapical abscess
- Pericoronitis
- Periodontal abscess
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
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
- Mix the resin and catalyst paste and apply to completely dry teeth
- May use nasal cannula with oxygen as a air/drying source
- May place gauze rolls in mucobuccal fold to absorb saliva
- Wet or lubricated goves will allow for easier handling
- Apply splinting to the facial side of the teeth, spanning approximately 1-2 teeth in either direction
- Apply the occlusal (biting) surface
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