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TABLE 1

Dental Treatment Plan for Traumatic Injuries in the Primary and Permanent Dentition

DescriptionPrimary DentitionPermanent 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 
DescriptionPrimary DentitionPermanent 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 
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