Changed Position
Extrusion
Clinical Findings
- The tooth appears elongated and is excessively mobile.
Treatment
- Reposition the tooth by gently reinserting it into the tooth socket.
- Stabilize the tooth for 2 weeks using a flexible splint.
- In mature teeth where pulp necrosis is anticipated or if several signs and symptoms indicate that the pulp of mature or immature teeth became necrotic, root canal treatment is indicated.
Follow Up
- 2 Weeks
- 4 Weeks
- 6-8 Weeks
- 6 Months
- 1 Year
- Yearly for 5 years
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Intrusive
Clinical Findings
- The tooth is displaced axially into the alveolar bone.
- It is immobile and percussion may give a high, metallic (ankylotic) sound.
Treatment
- Allow some natural eruption then tailor them to tooth prognosis.
Follow up
- 2 weeks
- 4 weeks
- 6-8 weeks
- 6 months
- 1 year
- yearly for 5 years
Lateral laxation
Clinical Findings
- The tooth is displaced, usually in a palatal/lingual or labial direction
- It will be immobile and percussion usually gives a high, metallic sound.
- Fracture of the alveolar process present.
Treatment
- Reposition the tooth digitally or with forceps to disengage it from its bony lock and gently reposition it into its original location.
- Stabilize the tooth for 4 weeks using a flexible splint.
- Monitor the pulpal condition.
- If the pulp becomes necrotic, root canal treatment is indicated to prevent root resorption.
Follow up
- 2 weeks
- 4 weeks
- 6-8 weeks
- 6 months
- 1 year
- yearly for 5 years
Written By: Dr. Ngo
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