intrusive luxation of a primary incisor

Question 1

At what age does incidence peak for trauma in the primary dentition?

Answer 1

2-3 years

Question 2

Why are luxation injuries more common than fractures in children?

Answer 2

Because the bone is more flexible.

Question 3

What would be the immediate treatment for an intrusive luxation?

Answer 3

1. Minimise Anxiety (knee-to-knee examination).
2. Allow to spontaneously erupt.

Question 4

What advice should be given to parents following an intrusive luxation?

Answer 4

• Provide analgesics.
• Clean the areas with a soft brush or cotton swab.
• Use alcohol free chlorhexidine gluconate 0.12%
• Soft diet.

Question 5

What type of mouth rinse should be used following the intrusive luxation of a primary incisor?

Answer 5

0.12% chlorhexidine gluconate (alcohol free)

Question 6

What should parents be advised to look out for following the intrusive luxation of a primary incisor?

Answer 6

Swelling, mobility or sinus tract lifting the lip.

Question 7

What are 4 potential adverse outcomes following an intrusive luxation?

Answer 7

1. Pulp Necrosis
2. Stalled Root Development
3. Ankylosis
4. Damage to Permanent Successor