Non fracture dental trauma
Dental infraction
This type of dental trauma is categorized by:
- An incomplete fracture (crack) of the enamel without loss of tooth structure.
- Not tender. If tenderness is observed evaluate the tooth for a possible luxation injury or a root fracture.
Treatment of dental infractions
- In case of marked infractions, etching and sealing with resin to prevent discoloration of the infraction lines. Otherwise, no treatment is necessary.
- No follow up is generally needed.
Concussions
This type of dental trauma is categorized by:
- The tooth is tender to touch or tapping; it has not been displaced and does not have increased mobility.
Treatment of dental concussions
- No treatment is needed.
- Monitor pulpal condition for at least one year.
- Follow up at 4 weeks, 6-8 weeks, and 1 year.
Subluxation
This type of dental trauma is categorized by:
- The tooth is tender to touch or tapping; it has not been displaced and does not have increased mobility.
Treatment of subluxation
- No treatment is needed.
- Monitor pulpal condition for at least one year.
- Follow up at 2 weeks, 4 weeks, 6-8 weeks, 6 months, and 1 year.
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My daughter’s first visit was amazing. The staff are super friendly and informative, the interior is really inviting for kids, and they even gave her a balloon and first visit certificate!
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Lateral luxation
The first few hours are very critical. Try to gently move to the teeth back to their position. Use gauze or a napkin to place between the teeth and close the mouth. Visit the dentist immediately. This type of dental trauma is categorized by:
- 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 of lateral luxations
- Reposition the tooth digitally or with forceps to disengage it from its bony lock and gently reposition it to 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 at 2 weeks, 4 weeks, 6-8 weeks, 6 months, and yearly for 5 years.
Intrusive Luxation
Intrusive luxaations make the took appear shorter than it actually is. This type of dental trauma is categorized by:
- The tooth is displaced axially into the alveolar bone.
- It is immobile and percussion may give a high, metallic (ankylotic) sound.
Treatment of intrusive luxation
- Allow some natural eruption then tailor the treatment to the tooth prognosis.
- Follow up at 2 weeks, 4 weeks, 6-8 weeks, 6 months, and yearly for 5 years.
Extrusive luxation
Extrusive luxations make the affected tooth appear longer than it really is. This type of dental trauma is categorized by:
- The tooth appears elongated and is excessively mobile.
Treatment of extrusive luxations
- 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 at 2 weeks, 4 weeks, 6-8 weeks, 6 months, and yearly for 5 years.
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