View source for Dental subluxation

==Background==
[[File:Enamel.png|thumb|Diagram of the tooth displaying the enamel, dentin, and pulp]]
{{Dental numbers}}

==Clinical Features==
[[File:PMC5149104 jced-8-e634-g001.png|thumb|Coronal incisor fractures and with extrusive luxation of the upper right central incisor.]]
*Tooth is mobile but is still in original anatomic position
*If multiple consecutive teeth are involved, rule out underlying alveolar ridge fracture or other [[mandible fracture]]

==Differential Diagnosis==
{{Template:Dental Problems DDX}}

==Evaluation==
*Clinical diagnosis

==Management==
===Extrusive Luxation===
*(tooth is moved partially out of the socket)
*Reposition tooth
*Follow up within 24hr for stabilization
*Temporizing measure: Periodontal pack (e.g.-Coe-Pak) in which tooth is bonded to its two neighboring teeth on both sides
**Mix the resin and catalyst paste and apply to completely dry teeth
**May use nasal cannula with oxygen as a air/drying source
**May place gauze rolls in mucobuccal fold to absorb saliva
**Wet or lubricated goves will allow for easier handling 
**Apply splinting to the facial side of the teeth, spanning approximately 1-2 teeth in either direction
**Avoid covering the occlusal (biting) surface

===Lateral Luxation===
*(tooth displaced in a direction other than inward or outward)
*More extensive injury than extrusive luxation
**Associated with cracking or fracture of the surrounding alveolar bone
*Attempt repositioning of tooth
*Apply temporary splinting with periodontal dressing
*Follow up within 24hr for stabilization

===Intrusive Luxation===
* (tooth is forced inward into the socket)
*Most serious because of significant damage to alveolar socket and periodontal ligament
*Allow tooth to erupt on its own

==Disposition==
*Discharge with dental follow up

==See Also==
*[[Dental Problems]]

==References==
<references/>

[[Category:ENT]]
[[Category:Trauma]]