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
ICOP
ICOHP

References

International Association of Dental Traumatology. Dental Trauma Guidelines. Revised 2012. Accessed March 15, 2017.

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

American Association of Endodontists. Recommended Guidelines of the American Association of Endodontists for the Treatment of Traumatic Dental Injuries. Chicago; 2004.

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