Extrusive luxation

EXTRUSIVE LUXATION

* Local anesthesia is usually not needed.
* Reposition the tooth gently and slowly with finger pressure on the incisal edge.
* Check the position radiographically.
* Stabilize the tooth with a splint.
* Maintain the splint for 2-3 weeks.

Follow-up:
All traumatized teeth are carefully observed for clinical and radiographic signs of complications. The intervals between re-examinations should be individualised depending upon the severity of traume, the expected type of complication and the age of the patient. When external inflammatory root resorption is an expected complication, a clinical and radiographic control should be taken every 14 days until the situation is clear. In extrusive luxation the possibility of external inflammatory root resorption is rather low, about 6 %.

Endodontic considerations:
In mature teeth where the apex is closed, extrusive luxation may result in pulpal necrosis. If pulpal necrosis develops, endodontic therapy is performed.