Dental subluxation

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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

  • 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

  • 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

  • Most serious because of significant damage to alveolar socket and periodontal ligament
  • Allow tooth to erupt on its own

Disposition

See Also

References