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
- 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
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