II. Types: Spectrum from slight to complete tooth loss
- Tooth Concussion
- Mild Trauma with no tooth mobility or Tooth Fracture
- Patient has tenderness on tooth percussion
- Treated with Analgesics, soft food and good Oral Hygiene
- Dental follow-up
- Tooth Subluxation
- Tooth Intrusion (axial displacement)
- Tooth Extrusion (apical displacement)
- Tooth dislocated from socket centrally
- Clean the Gingiva and tooth with sterile saline
- Reposition the tooth apically and apply Dental Splint in position
- Follow all measures of Tooth Concussion in addition to oral Antibiotics (Penicillin VK)
- Dental follow-up
- Lateral Luxation
- Displaced tooth that may be accompanied by alveolar Fracture
- Clean the Gingiva and tooth with sterile saline
- Administer Local Anesthetic
- Physician holds the tooth and Cortical Bone between fingers and repositions as a whole
- Follow all measures of Tooth Concussion in addition to oral Antibiotics (Penicillin VK)
- Dental follow-up
-
Tooth Avulsion
- Complete tooth displacement from its socket
- Dental Emergency (see Tooth Avulsion for management)
III. Grading: Tooth Mobility
- Grade 1 Mobility
- Buccal or lingual tooth movement of 0.5 mm
- Grade 2 Mobility
- Buccal or lingual tooth movement of 1 mm
- Grade 3 Mobility
- Lateral movement and depressibility in socket in addition to buccal or lingual tooth movement
IV. Management: General
- Repositioning and Splinting of affected tooth as described above
- See Dental Splint
- Dental referral
- Root canal may be indicated in some cases
- Analgesics, soft food and good Oral Hygiene
- Antibiotics for Dental Infection indicated for Tooth Extrusion and Lateral luxation
V. References
- Broderick and Deak (2015) Crit Dec Emerg Med 29(1): 2-8
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Related Studies
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 |
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 |
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 |
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 |
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 |