Intrusion of Primary Teeth
An intruded tooth is driven into its socket, causing a crushing fracture of alveolar bone.
Treatment
- Do not attempt to remove intruded tooth.
- Administer analgesics and recommend good oral hygiene.
- Refer patient for dental evaluation in one day to one week based on symptoms.
Dental Care & Expected Outcome
- Dentist will take a radiograph.
- Extraction is indicated if the intruded tooth is impinging on a developing permanent tooth bud.
- Most teeth re-erupt to some degree in two to six months.
- Follow-up monitoring by the dentist to assess re-eruption and monitor tooth vitality.
- Teeth that become necrotic typically require extraction.
- Cannot accurately predict outcome of injured permanent teeth.
ICOHP
ICOHP
References
International Association of Dental Traumatology. Dental Trauma Guidelines, Revised 2020. https://www.iadt-dentaltrauma.org/for-professionals.html.
Cameron, Angus. Handbook of Pediatric. 2nd. United States: Mosby, 2003.
American Association of Endodontists. Traumatic Dental Injuries. https://www.aae.org/specialty/clinical-resources/treatment-planning/traumatic-dental-injuries/
American Academy of Pediatric Dentistry. Guideline on Management of Acute Dental Trauma. Pediatric Dentistry 2009; 31(6):187-195.