iadt luxations Flashcards
Management of concussion in primary teeth?
No treatment; observe. Educate on soft diet, hygiene with chlorhexidine BD for 1 week.
Management of concussion in permanent teeth?
No treatment; observe. Educate on soft diet and hygiene. Monitor pulp for 1 year.
Management of subluxation in primary teeth?
No treatment; firm up over 1–2 weeks. Educate on care when eating, soft diet, and hygiene with CHX BD 1/52.
Management of subluxation in permanent teeth?
No Tx if no s.s/relieve occl if needed
If tender on biting or very mobile → passive + flexible splint for 2 weeks.
Monitor pulp for 1 year.
Management of extrusive luxation in primary teeth?
If extrusion >3mm or excessive mobility → extraction under LA (consider compliance & root development).
If mild and not occlusally interfering → monitor for spontaneous reposition.(6months usually)
Management of extrusive luxation in permanent teeth?
LA + reposition + flexible splint for 2 weeks. If alveolar bone fracture present → splint 4 weeks. Monitor pulp; endo based on apex maturity if necrosis develops.
Management of lateral luxation in primary teeth?
If not interfering with occlusion → allow spontaneous reposition (within 6 months).
If very mobile (risk ingestion/aspiration)→ LA + extraction
OR
LA and reposition+ splint 4wks
Management of lateral luxation in permanent teeth?
LA + reposition + flexible splint 4 weeks. Endodontic follow-up at 2 weeks if s/s (immature: RET/apexification; mature: RCT).
Management of intrusive luxation in primary teeth?
If not into tooth bud → spontaneous re-eruption (6–12 months). If into tooth bud → extraction or refer Paeds promptly.
Management of intrusive luxation in permanent teeth (immature teeth)?
Spontaneous re-eruption expected in 4 weeks.
If no movement → ortho repositioning.
If symptomatic → apexification/RET
Management of intrusive luxation in permanent teeth (mature teeth)?
RCT at 2 weeks.
If <3mm intrusion → observe for spontaneous re-eruption (8 weeks).
If no movement → ortho repositioning.
If 3–7mm → Ortho reposition or preferrably surgical reposition + splint 4 weeks.
If >7mm → surgical reposition + splint 4 weeks.
Management of avulsion in primary teeth?
Do NOT replant. Refer for chest xray if tooth not found or respiratory symptoms present.
Management of avulsion in permanent teeth?
Management depends on: Root development (mature/immature), Time out of socket, Storage medium, Handling of root. >60 minutes out = nonviable PDL → high risk of ankylosis.
Replant and splint for 2 wks if within 15mins- high success rate- RCT within 2 wks with CaOH if matured tooth.
Immature tooth may revascularized, hence RCT only if necrotic/infected
Management of alveolar fracture (luxation-related)?
LA + reposition + flexible splint 4 weeks. Suture any gingival lacerations. Do not initiate endodontic treatment at emergency visit. Monitor pulp.
