Intrusion of Primary Teeth

An intruded tooth is driven into its socket, causing a crushing fracture of alveolar bone.


  • 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.


International Association of Dental Traumatology. Dental Trauma Guidelines, Revised 2020.

Cameron, Angus. Handbook of Pediatric. 2nd. United States: Mosby, 2003.

American Association of Endodontists. Traumatic Dental Injuries.

American Academy of Pediatric Dentistry. Guideline on Management of Acute Dental Trauma. Pediatric Dentistry 2009; 31(6):187-195.