Displaced Tooth Treatment & Management
- Author: Lynnus F Peng, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP more...
Emergency Department Care
Provide adequate pain management, tetanus vaccination, and ensure proper follow-up care.[9, 10, 12, 13]
Consult a dental or oral maxillofacial surgeon for splinting.
Subluxation or extrusion injury
A dentist should adjust and splint.
A tooth should be allowed to re-erupt. Dentoalveolar ankylosis of a primary tooth hinders eruption of the succedaneous permanent tooth.
- Intruded primary teeth: Allow teeth to re-erupt before possible repositioning.
- Intruded adult teeth: Allow re-eruption then stabilize.
A study investigated differences in the periodontal outcomes of palatally displaced canines (PDC) exposed with either an open or a closed surgical technique. The study concluded that there is a periodontal impact when a unilateral PDC is exposed and aligned, however, this impact is small and unlikely to have clinical relevance in the short term.
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