Dental subluxation: Difference between revisions

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==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
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===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
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===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