Executive Editor: Edward Ellis III, Kazuo Shimozato

General Editor: Daniel Buchbinder

Authors: J Andreasen, CP Cornelius, N Gellrich, S Hillerup, K Kusumoto, W Schubert

Dentoalveolar Trauma - Tooth luxation, without displacement - Subluxation

No active treatment

1. Decision/Indication

In cases of subluxation, generally no active treatment is indicated. There is a small risk of pulp necrosis for which reason the tooth vitality should be reevaluated in 6 months with pulp testing and apical x-ray.

If the tooth is sore on occlusion, for patient comfort it may be splinted to healthy neighboring teeth for 2 weeks.

Concurring lack of response to pulp testing with periapical radiolucency and discoloration of the crown indicates pulp necrosis, and requires endodontic treatment.

2. Treatment

Generally no active treatment is needed. There is a small risk of pulp necrosis and the tooth vitality should be reevaluated in 6 months with pulp testing and apical x-ray. Stability of the tooth has to be assessed and should be regained within 2 weeks.

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.

This illustration demonstrates electric pulp testing.

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v1.0 2009-12-03