Tooth Luxation

Aka: Tooth Luxation, Luxated Teeth, Loose Tooth, Tooth Lateral Luxation, Tooth Extrusion, Tooth Intrusion, Tooth Subluxation, Tooth Concussion

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II. Types: Spectrum from slight to complete tooth loss

  1. Tooth Concussion
    1. Mild Trauma with no tooth mobility or Tooth Fracture
    2. Patient has tenderness on tooth percussion
    3. Treated with Analgesics, soft food and good Oral Hygiene
    4. Dental follow-up
  2. Tooth Subluxation
    1. Tooth loose with bleeding but without displacement
    2. Evaluate for movement on Occlusion
      1. If movement, apply a splint
      2. If no movement, treat in same way as a Tooth Concussion
  3. Tooth Intrusion (axial displacement)
    1. Tooth driven into socket with secondary periodontal ligament injury and crush of alveolar socket
    2. Do not reposition tooth
    3. Clean the Gingiva and tooth with sterile saline
    4. Dental evaluation is needed to determine next step
  4. Tooth Extrusion (apical displacement)
    1. Tooth dislocated from socket centrally
    2. Clean the Gingiva and tooth with sterile saline
    3. Reposition the tooth apically and apply Dental Splint in position
    4. Follow all measures of Tooth Concussion in addition to oral antibiotics (Penicillin VK)
    5. Dental follow-up
  5. Lateral Luxation
    1. Displaced tooth that may be accompanied by alveolar Fracture
    2. Clean the Gingiva and tooth with sterile saline
    3. Administer local Anesthetic
    4. Physician holds the tooth and Cortical Bone between fingers and repositions as a whole
    5. Follow all measures of Tooth Concussion in addition to oral antibiotics (Penicillin VK)
    6. Dental follow-up
  6. Tooth Avulsion
    1. Complete tooth displacement from its socket
    2. Dental Emergency (see Tooth Avulsion for management)

III. Grading: Tooth Mobility

  1. Grade 1 Mobility
    1. Buccal or lingual tooth movement of 0.5 mm
  2. Grade 2 Mobility
    1. Buccal or lingual tooth movement of 1 mm
  3. Grade 3 Mobility
    1. Lateral movement and depressibility in socket in addition to buccal or lingual tooth movement

IV. Management: General

  1. Repositioning and Splinting of affected tooth as described above
    1. See Dental Splint
  2. Dental referral
    1. Root canal may be indicated in some cases
  3. Analgesics, soft food and good Oral Hygiene
  4. Antibiotics for Dental Infection indicated for Tooth Extrusion and Lateral luxation

V. References

  1. Broderick and Deak (2015) Crit Dec Emerg Med 29(1): 2-8

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Related Studies

Ontology: Tooth Dislocation (C0266949)

Concepts Injury or Poisoning (T037)
MSH D014084
ICD10 S03.2
SnomedCT 210366009, 14939006
English Dislocations, Tooth, Luxation, Tooth, Luxations, Tooth, Tooth Dislocations, Tooth Luxation, Tooth Luxations, Luxation of tooth, Tooth Dislocation, tooth luxation, tooth dislocation, dislocation of tooth (diagnosis), Luxation of tooth (disorder), Tooth luxation, Dislocation of tooth, Dislocation of tooth (disorder), dislocation; tooth, tooth; dislocation, Dislocation, Tooth
Czech zuby - luxace, dislokace zubu
Portuguese Deslocamento Dentário, Luxação Dentária
Spanish Dislocación Dentaria, Luxación de Diente, luxación dental (trastorno), luxación dental, luxación de diente (trastorno), luxación de diente, dislocación completa de diente, luxación de un diente (trastorno)
French Luxation dentaire, Luxation de dent
German Dislokation, Zahn-, Zahnluxation
Korean 치아의 탈구
Italian Lussazione del dente, Dislocazione del dente
Norwegian Tanndislokasjon, Dislokasjon av tann, Tannluksasjon
Dutch luxatie; tand, tanden; luxatie, Luxatie van tand, Tandluxatie
Derived from the NIH UMLS (Unified Medical Language System)

Ontology: Lateral luxation of tooth (C0436041)

Concepts Injury or Poisoning (T037)
SnomedCT 109677007
English Lateral displacement of tooth, Lateral luxation of tooth, Lateral luxation of tooth (disorder)
Spanish desplazamiento lateral de diente, luxación dental lateral (trastorno), luxación dental lateral
Derived from the NIH UMLS (Unified Medical Language System)

Ontology: Loose tooth (C0600028)

Concepts Finding (T033)
SnomedCT 283021003
Dutch losse tand, los; tanden, tanden; los
French Dent branlante
German loser Zahn
Italian Dente tentennante
Portuguese Dente frouxo
Spanish Diente móvil, diente flojo, diente móvil (hallazgo), diente móvil
Japanese 弛緩歯, ｼｶﾝｼ
English loose teeth (physical finding), loose teeth, loose tooth, loosened tooth, tooth loose, Mobile tooth, Mobile tooth (finding), loose; teeth, teeth; loose, Loose tooth
Czech Uvolněný zub
Hungarian Laza fog
Derived from the NIH UMLS (Unified Medical Language System)

Ontology: Intrusive luxation of tooth (C1318480)

Concepts Anatomical Abnormality (T190)
SnomedCT 109679005
English Intruded tooth, intrusive luxation of tooth (diagnosis), intrusive luxation of tooth, intruded tooth, Central dislocation of tooth, Intrusion of tooth, Intrusive luxation of tooth, Intrusive luxation of tooth (disorder)
Spanish intrusión de diente, luxación central de diente, luxación dental intrusiva (trastorno), luxación dental intrusiva
Derived from the NIH UMLS (Unified Medical Language System)

Ontology: Extrusive luxation of tooth (C1318481)

Concepts Anatomical Abnormality (T190)
ICD10 M26.34
SnomedCT 109642007, 109670009, 109643002, 109678002
English Peripheral dislocation tooth, extrusive luxation of tooth (diagnosis), extrusive luxation of tooth, extruded tooth, tooth extruded, Partial avulsion of tooth (disorder), Extrusion of tooth due to trauma (disorder), Extrusion of a tooth (disorder), Extruded tooth, Extrusion of tooth, Extrusive luxation of tooth, Partial avulsion of tooth, Peripheral dislocation of tooth, Extrusion of a tooth, Extrusion of tooth due to trauma, Extrusive luxation of tooth (disorder), Traumatic extrusion of tooth
Spanish avulsión dental parcial, extracción dental, extracción dental traumática, extracción dental (concepto no activo), extracción dental traumática (concepto no activo), avulsión dental parcial (concepto no activo), extracción de diente por traumatismo, extracción de un diente, luxación dental extrusiva (trastorno), luxación dental extrusiva
Derived from the NIH UMLS (Unified Medical Language System)

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