Experts consensus on management of tooth luxation and avulsion
10.1038/s41368-024-00321-z
- Author:
Huang RUIJIE
1
;
Zhou CHENCHEN
;
Zhan LING
;
Liu YUAN
;
Liu XIAN
;
Du QIN
;
Wang JUN
;
Zhao WEI
;
Song GUANGTAI
;
Wu LI'AN
;
Jiang BEIZHAN
;
Li YANHONG
;
Zhang HONGMEI
;
Zou JING
Author Information
1. State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Pediatric Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu,China
- Publication Type:Journal Article
- From:
International Journal of Oral Science
2024;16(4):563-574
- CountryChina
- Language:English
-
Abstract:
Traumatic dental injuries(TDIs)of teeth occur frequently in children and adolescents.TDIs that impact the periodontal tissues and alveolar tissue can be classified into concussion,subluxation,extrusive luxation,intrusive luxation,lateral luxation,and avulsion.In these TDIs,management of injured soft tissue,mainly periodontal ligament,and dental pulp,is crucial in maintaining the function and longevity of the injured teeth.Factors that need to be considered for management in laxation injuries include the maturation stage of the traumatic teeth,mobility,direction of displacement,distance of displacement,and whether there are alveolar fractures.In avulsion,the maturation stage of the permanent tooth,the out-socket time,storage media/condition of the avulsed tooth,and management of the PDL should also be considered.Especially,in this review,we have subdivided the immature tooth into the adolescent tooth(Nolla stage 9)and the very young tooth(Nolla stage 8 and below).This consensus paper aimed to discuss the impacts of those factors on the trauma management and prognosis of TDI to provide a streamlined guide for clinicians from clinical evaluation,diagnostic process,management plan decision,follow-up,and orthodontic treatment for tooth luxation and avulsion injuries.
