Dental Treatment Plan for Traumatic Injuries in the Primary and Permanent Dentition
| Description . | Primary Dentition . | Permanent Dentition . |
|---|---|---|
| Concussion/ subluxation | Observe, soft foods for 1 wk, dental radiograph to rule out root fracture | Observe, soft foods for 1 wk, dental radiograph to rule out root fracture |
| Luxation | Reposition tooth or extract, do not splint | Dental radiograph, reposition tooth, splint for 4 wk |
| Extrusion | Reposition tooth or extract, do not splint | Dental radiograph, reposition tooth, splint for 2 wk |
| Intrusion | Dental radiograph, observe and allow to reerupt, extract if alveolar plate is compromised | Dental radiograph, observe and allow to reerupt, surgical or orthodontic repositioning, root canal treatment |
| Uncomplicated crown fracture | Restore tooth, smooth sharp edges, dental radiograph to rule out root fracture | Restore tooth, smooth sharp edges, radiograph to rule out root fracture |
| Complicated crown fracture | Dental radiograph, pulp treatment, restore or extract tooth, observe for infection | Dental radiograph, pulp treatment, restore tooth, observe for infection, may require root canal treatment |
| Root fracture | Dental radiograph, extract if root fracture is in middle or cervical third of root | Dental radiograph, splint, may require root canal treatment; if in cervical third, may need to extract |
| Avulsion | Do not replant, dental radiograph to rule out intrusion if tooth is not located | Do not handle the root, replant within 30 min or place in recommended transport medium (balanced salt solution, cold milk); dental radiograph, replant and splint as soon as possible; systemic antibiotics, soft diet, chlorhexidine, close follow-up |
| Description . | Primary Dentition . | Permanent Dentition . |
|---|---|---|
| Concussion/ subluxation | Observe, soft foods for 1 wk, dental radiograph to rule out root fracture | Observe, soft foods for 1 wk, dental radiograph to rule out root fracture |
| Luxation | Reposition tooth or extract, do not splint | Dental radiograph, reposition tooth, splint for 4 wk |
| Extrusion | Reposition tooth or extract, do not splint | Dental radiograph, reposition tooth, splint for 2 wk |
| Intrusion | Dental radiograph, observe and allow to reerupt, extract if alveolar plate is compromised | Dental radiograph, observe and allow to reerupt, surgical or orthodontic repositioning, root canal treatment |
| Uncomplicated crown fracture | Restore tooth, smooth sharp edges, dental radiograph to rule out root fracture | Restore tooth, smooth sharp edges, radiograph to rule out root fracture |
| Complicated crown fracture | Dental radiograph, pulp treatment, restore or extract tooth, observe for infection | Dental radiograph, pulp treatment, restore tooth, observe for infection, may require root canal treatment |
| Root fracture | Dental radiograph, extract if root fracture is in middle or cervical third of root | Dental radiograph, splint, may require root canal treatment; if in cervical third, may need to extract |
| Avulsion | Do not replant, dental radiograph to rule out intrusion if tooth is not located | Do not handle the root, replant within 30 min or place in recommended transport medium (balanced salt solution, cold milk); dental radiograph, replant and splint as soon as possible; systemic antibiotics, soft diet, chlorhexidine, close follow-up |