Dental subluxation: Difference between revisions
ClaireLewis (talk | contribs) No edit summary |
m (Rossdonaldson1 moved page Tooth subluxation to Dental subluxation) |
||
| (One intermediate revision by the same user not shown) | |||
| Line 3: | Line 3: | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:PMC5149104 jced-8-e634-g001.png|thumb|Coronal incisor fractures and with extrusive luxation of the upper right central incisor.]] | |||
*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 fracture or other [[Mandible fracture]] | *If multiple consecutive teeth are involved, rule out underlying alveolar ridge fracture or other [[Mandible fracture]] | ||
Revision as of 20:25, 22 October 2019
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
- Clinical diagnosis
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
- Avoid covering 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
Disposition
- Discharge with dental follow up