Difference between revisions of "Dental subluxation"

m (Rossdonaldson1 moved page Tooth Subluxation to Tooth subluxation)
m (Rossdonaldson1 moved page Tooth subluxation to Dental subluxation)
 
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==Background==
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 +
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==Clinical Features==
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[[File:PMC5149104 jced-8-e634-g001.png|thumb|Coronal incisor fractures and with extrusive luxation of the upper right central incisor.]]
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*Tooth is mobile but is still in original anatomic position
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*If multiple consecutive teeth are involved, rule out underlying alveolar ridge fracture or other [[Mandible fracture]]
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==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Template:Dental Problems DDX}}
 
{{Template:Dental Problems DDX}}
  
==Extrusive Luxation==
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==Evaluation==
#Reposition tooth
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*Clinical diagnosis
#F/u within 24hr for stabilization
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#Temporizing measure: Periodontal pack in which tooth is bonded to its two neighboring teeth on both sides
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==Management==
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===Extrusive Luxation===
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*(tooth is moved partially out of the socket)
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*Reposition tooth
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*Follow up within 24hr for stabilization
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*Temporizing measure: Periodontal pack (e.g.-Coe-Pak) in which tooth is bonded to its two neighboring teeth on both sides
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**Mix the resin and catalyst paste and apply to completely dry teeth
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**May use nasal cannula with oxygen as a air/drying source
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**May place gauze rolls in mucobuccal fold to absorb saliva
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**Wet or lubricated goves will allow for easier handling
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**Apply splinting to the facial side of the teeth, spanning approximately 1-2 teeth in either direction
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**Avoid covering the occlusal (biting) surface
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===Lateral Luxation===
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*(tooth displaced in a direction other than inward or outward)
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*More extensive injury than extrusive luxation
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**Associated with cracking or fracture of the surrounding alveolar bone
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*Attempt repositioning of tooth
 +
*Apply temporary splinting with periodontal dressing
 +
*Follow up within 24hr for stabilization
  
==Lateral Luxation==
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===Intrusive Luxation===
#More extensive injury than extrusive luxation
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* (tooth is forced inward into the socket)
##Associated with cracking or fracture of the surrounding alveolar bone
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*Most serious because of significant damage to alveolar socket and periodontal ligament
#Treatment
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*Allow tooth to erupt on its own
##Attempt repositioning of tooth
 
##Apply temporary splinting with periodontal dressing
 
##F/u within 24hr for stabilization
 
  
==Intrusive Luxation==
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==Disposition==
#Most serious because of significant damage to alveolar socket and periodontal ligament
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*Discharge with dental follow up
#Treatment
 
##Allow tooth to erupt on its own
 
  
 
==See Also==
 
==See Also==
 
*[[Dental Problems]]
 
*[[Dental Problems]]
  
== Source ==
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==References==
*ER Atlas
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<references/>
*Tintinalli
 
*UpToDate
 
  
 
[[Category:ENT]]
 
[[Category:ENT]]
 
[[Category:Trauma]]
 
[[Category:Trauma]]

Latest revision as of 20:25, 22 October 2019

Background

Clinical Features

Coronal incisor fractures and with extrusive luxation of the upper right central incisor.
  • 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

  • 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

See Also

References