Teeth need to be monitored for loss of vitality using all available parameters, including radiographic and colour changes. Transient apical breakdown is commonly seen in lateral luxations, but these teeth are not necrotic. Avoid starting root canal treatment unless there are other indicators of infection of the pulp canal.
Full Answer
How do you treat lateral luxation after root canal?
You may need a splint for about two weeks to stabilize your tooth. If your pulp has been injured, you may need a root canal. During a root canal, your dentist or endodontist removes your pulp. They then clean the tooth before filling and sealing it. Lateral luxation: Your dentist will remove your tooth from the socket. They then use forceps to reposition it back into the socket.
What is lateral luxation of a tooth?
Lateral luxation injuries can occur in adult teeth and deciduous/primary teeth. In adult teeth the tooth should be replaced back into its original position and then splinted (secured to the adjacent teeth) for 2 weeks. If the nerve of the tooth dies then a root canal treatment may be necessary.
How long should fixation be maintained after lateral luxation of a tooth?
Treatment options. Lateral luxation of a tooth can be treated in a few different ways: ... If the tooth’s pulp has started to die, then a root canal treatment may be needed in order to save the tooth. In the most extreme instances of tooth luxation, however, the tooth will need to be extracted in order to stop infections spreading to other ...
What is the treatment for a lateral luxation injury?
In cases of lateral luxation, fixation should generally be maintained for 4 weeks (due to the associate bone fracture). Note: the patient should be put on soft diet for 2 weeks. Exposure to temperature extremes should be avoided. Note: care has to be taken that there is no occlusal loading to the affected tooth.
How do you manage laterally displaced?
How do I manage a patient with lateral luxation of a permanent incisor?
What can you do for Luxated teeth?
Which treatment may be required for a severely fractured anterior tooth that is not fully developed and has open Apices?
What is avulsion and luxation?
How do you get a root fracture?
How long does a Luxated tooth take to heal?
What is the difference between luxation and subluxation?
When is a tooth avulsed?
What is the definition of a tooth subluxation luxation and avulsion?
Can a root canal cause a fractured tooth?
What teeth are more prone fracture?
Summary
Lateral luxation is a traumatic injury to teeth where the tooth has moved laterally. Usually the crown of the tooth moves in the direction of the inside or the mouth, or it can move out towards the lip. There is also almost always a fracture of the bone around the tooth due to movement of the root.
Home care advice
In general all luxation injuries need to be treated as a dental emergency and a prompt dental visit is necessary. A tooth that has been displaced in its socket generally should be repositioned as soon as possible back to its original position. This is likely to be extremely painful and best performed by a dentist under local anaesthetic.
2. Repositioning
If exposed, the root surface of the displaced tooth should be cleansed with saline solution. The tooth is repositioned with axial digital pressure until its normal position has been reestablished.
3. Fixation
Fixation is preferably accomplished with acid etch of the incisal enamel and application of a resin splint involving intact neighboring teeth. The teeth involved are gently dried with compressed air (as illustrated) or absolute alcohol and kept dry during the fixation procedure.
4. Aftercare following treatment of lateral luxation
Aftercare may include endodontic treatment. The decision for endodontic treatment may be taken after 2 to 6 months of follow-up if the tooth still does not respond to electrometric or thermal pulp testing and/or if x-rays show a periapical radiolucency or the crown becomes discolored.
Clinical Findings
The tooth is displaced, usually in a palatal/lingual or labial direction.
Treatment
Reposition the tooth digitally or with forceps to disengage it from its bony lock and gently reposition it to its original location.
How long does it take to fix a root canal?
Root canal treatment may be considered after 7–10 days. Stabilize the tooth for 4 weeks using a splint. Systemic antibiotics should be considered. Replantation of such teeth mainly serves the purpose of alveolar ridge maintenance.
How to treat avulsed tooth?
Treatment of an avulsed tooth is influenced by a number of factors: 1 Type of extraoral storage (Is the tooth dry or moist?) 2 Time of extraoral storage 3 Is the periodontal ligament seriously damaged? 4 Stage of root development (open or closed apex)
Why is tooth avulsion different from other dental injuries?
Tooth avulsion is different from all other dental injuries due to the extracorporeal situation with varying duration and degree of contamination of the teeth. Furthermore, the stage of root development is decisive for treatment and prognosis. The principle of treatment in tooth avulsion is to prevent further damage ...
Why do children need to have teeth replants?
The aim of replanting developing (immature) teeth in children is to allow for possible revascularization of the tooth pulp. If that does not occur, root canal treatment should be performed.
Abstract
Abstract – Crown fractures and luxations occur most frequently of all dental injuries. An appropriate treatment plan after an injury is important for a good prognosis. Guidelines are useful for delivering the best care possible in an efficient manner.
Clinical examination
Detailed description of procedures such as clinical examination in the emergency situation ( Figs. 1–3) and classification of injuries can be found in current textbooks ( 1, 5 ).
Sensibility tests
Sensibility testing refers to tests (electric pulp test or cold test) to determine the condition of the tooth pulp. Initial tests following an injury frequently give negative results, but such results may only indicate a transient lack of pulpal response. Follow-up controls are needed to make a definitive pulpal diagnosis.
Patient instructions
Good healing following an injury to the teeth and oral tissues depends, in part, on good oral hygiene. Patients should be advised on how best to care for teeth that have received treatment after an injury. Brushing with a soft brush and rinsing with chlorhexidine 0.1% is beneficial to prevent accumulation of plaque and debris.