1 Decision/Indication topenlarge
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 topenlarge
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.