Lateral luxation
IADT treatment guidelines for lateral luxation :
IADT treatment guidelines for lateral luxation :
Clinical findings
1-The tooth is displaced, usually in a palatal/lingual or labial direction.
2-It will be immobile and percussion usually gives a high, metallic (ankylotic) sound.
3-Fracture of the alveolar process present.
4- Sensibility tests will likely give negative results.
1-The tooth is displaced, usually in a palatal/lingual or labial direction.
2-It will be immobile and percussion usually gives a high, metallic (ankylotic) sound.
3-Fracture of the alveolar process present.
4- Sensibility tests will likely give negative results.
Radiographic findings:
The widened periodontal ligament space is best seen on eccentric or occlusal exposures.
The widened periodontal ligament space is best seen on eccentric or occlusal exposures.
Treatment:
1- Reposition the tooth digitally or with forceps to disengage it from its bony lock and gently reposition it into its original location.
2- Stabilize the tooth for 4 weeks using a flexible splint.
1- Reposition the tooth digitally or with forceps to disengage it from its bony lock and gently reposition it into its original location.
2- Stabilize the tooth for 4 weeks using a flexible splint.
3-Monitor the pulpal condition.
If the pulp becomes necrotic, root canal treatment is indicated to prevent root resorption.
If the pulp becomes necrotic, root canal treatment is indicated to prevent root resorption.
Follow-up:
- 2 weeks – Clinical and radiographic examination.
-4 weeks – Splint removal, clinical and radiographic examination.
- 6-8 weeks – Clinical and radiographic examination.
- 2 weeks – Clinical and radiographic examination.
-4 weeks – Splint removal, clinical and radiographic examination.
- 6-8 weeks – Clinical and radiographic examination.
-6 months – Clinical and radiographic examination.
- 1 year – Clinical and radiographic examination.
- Yearly for 5 years – Clinical and radiographic examination.
- 1 year – Clinical and radiographic examination.
- Yearly for 5 years – Clinical and radiographic examination.
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