Presentation
Although subtle abnormalities are present, no gross evidence of the intruded tooth is seen. [dentistrytoday.com]
Clinical and radiographical presentation[edit] Clinical findings show shortened crown length to various degree and up to no visible crown in severe cases. Tooth is immobile, and percussion gives high, metallic sound. [en.wikipedia.org]
Prescribe a systemic antibiotic treatment, and advise the patient/parents to check with the physician regarding the tetanus booster dose if external injuries are present. [jcda.ca]
Entire Body System
- Pain
Intrusion of tooth 11 (day of trauma) of an 8-year-old patient Symptoms Pain is not usually associated with intrusion of a permanent tooth. [jcda.ca]
Follow-up prescriptions included the antibiotics penicillin and clindamycin, together with Lortab (UCB Pharma) as needed for pain. For removal of the intruded central incisor, the patient was referred to an oral surgeon. [dentistrytoday.com]
- Dentist
Referral to a specialist If you decide not to surgically reposition the teeth yourself, refer the patient to a pediatric dentist if the patient has immature root development or to a maxillofacial surgeon in more complex cases. [jcda.ca]
Piskorowski is attending dentist, Department of Dentistry and Oral-Maxillofacial Surgery, Cayuga Medical Center, Ithaca, NY, with a private practice in Ithaca. Dr. [dentistrytoday.com]
Skin
- Eruptions
In cases with mixed dentition, a percussion test must be performed as an intruded tooth can mimic an erupting tooth. [en.wikipedia.org]
Allow spontaneous re-eruption and see the patient again after 2–4 weeks. Moderately intruded (3–6 mm): Initially, allow for spontaneous re-eruption. If no repositioning is evident within 2–3 weeks, orthodontic repositioning will be required. [jcda.ca]
Immature root development will usually mean spontaneous re-eruption. Mature root development will require repositioning, surgery, and splinting or orthodontic extrusion. [dentalcare.com]
Treatment
Treatment Common Initial Treatments Managing the patient Alleviate the patient's psychological and functional discomfort to allow for successful treatment. [jcda.ca]
Management is focused on reducing this effect and is commonly achieved by root canal treatment. [en.wikipedia.org]
Tooth fracture: a comparison of endodontic and restorative treatments. J Endod. 1978;4:341-345. 7. Ellis E. Soft tissue and dentoalveolar injuries. In: Peterson LJ, ed. Contemporary Oral and Maxillofacial Surgery. [dentistrytoday.com]
Prognosis
Prognosis of luxated permanent teethóthe development of pulp necrosis. Endod Dent Traumatol. 1985;1:207-220. 12. Hara A, Kusakari J, Shinohara A, et al. Intrusion of an incisor tooth into the contralateral frontal sinus following trauma. [dentistrytoday.com]
Etiology
Etiology and pathogenesis of traumatic dental injuries: a clinical study of 1,298 cases. Scand J Dent Res. 1970;78:329-42. 9. Turley PK, Joiner MW, Hellstrom S. The effect of orthodontic extrusion on traumatically intruded teeth. [dentistrytoday.com]
Epidemiology
[…] access to care adults adverse reactions advocacy anesthesia associations cancer caries cda children continuing education dental caries dental devices dental diseases dental materials dental profession diagnosis education endodontics epidemiology esthetics [jcda.ca]
Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg. 1972;1:235-239. 3. Ravn JJ, Rossen I. [dentistrytoday.com]
Prevention
Gupta is an assistant professor, department of pediatric and preventive dentistry, Santosh Dental College and Hospital, Ghaziabad NCR, Delhi, India. Dr. [jcda.ca]
Cause, incidence, and prevention of trauma to teeth. Dent Clin North Am. 1995;39:1-13. 5. Jarvinen S. Fractured and avulsed permanent incisors in Finnish children: a retrospective study. Acta Odontol Scand. 1979;37:47-50. 6. [dentistrytoday.com]