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Tooth subluxation
From WikEM
Contents
Background
Clinical Features
Differential Diagnosis
Dentoalveolar Injuries
- Tooth fracture
- Tooth subluxation
- Tooth avulsion
- Bleeding dental socket
Odontogenic Infections
- Dental caries (pulpitis)
- Ludwig's angina
- Periapical abcess
- Periodontal abscess
- Peritonsillar Abscess (PTA)
- Retropharyngeal abscess
- Trench Mouth (Acute Necrotizing Ulcerative Gingivitis)
- Vincent's angina - tonsillitis and pharyngitis
- Acute alveolar osteitis
Other
- Scurvy
- Gingival hyperplasia
- Phenytoin
- Cyclosporine
- Nifedipine, Amlodipine
- Leukemia
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
Authors
Ross Donaldson, Michael Holtz, Neil Young, Jonathan Osgood, Claire
