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Primary Tooth Luxation Injuries

  • Rebecca L. Slayton
  • Elizabeth A. Palmer
Chapter

Abstract

A traumatic injury to the mouth that results in partial or complete displacement of one or more teeth out of the socket, is called a luxation injury. One of the concerns related to this type of injury is that the root of the luxated primary tooth may cause damage to the developing permanent tooth bud. This is more likely when a primary tooth is intruded or when it is luxated labially, causing the root to be pushed toward the developing permanent tooth. There is also risk to the permanent tooth when a primary tooth is avulsed, presumably due to the impact on the alveolar bone that caused the avulsion. Priorities for management of luxated primary teeth include efforts to maintain the health of the primary teeth while minimizing the risk for damage to the developing permanent teeth.

Keywords

Dental trauma Pediatric Primary teeth Tooth luxation Behavior guidance Trauma guidelines Intrusive luxation Tooth avulsion 

References

  1. 1.
    Flores MT, Holan G, Andreasen JO, Lauridsen E. Injuries to the primary dentition. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 5th ed. Hoboken: Wiley-Blackwell; 2019. p. 556–88.Google Scholar
  2. 2.
    Malmgren B, Adreasen JO, Flores MT, Robertson A, DiAngelis AJ, Andersson L, Cavalleri G, Cohenca N, Day P, Hicks ML, Malmgren O, Moule AJ, Onetto J, Tsukiboshi M, International Association of Dental Traumatology. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2012;28:174–82.CrossRefGoogle Scholar
  3. 3.
    Cardoso M, de Carvalho Rocha MJ. Association of crown discoloration and pulp status in traumatized primary teeth. Dental Traumatol. 2010;26:321–4.Google Scholar
  4. 4.
    Holan G. Development of clinical and radiographic signs associated with dark discolored primary incisors following traumatic injuries: a prospective controlled study. Dental Traumatol. 2004;20:276–87.CrossRefGoogle Scholar
  5. 5.
    Mendoza-Mendoza A, Iglesias-Linares A, Yanez-Vico RM, Abalos-Labruzzi C. Prevalence and complications of trauma to the primary dentition in a subpopulation of Spanish children in southern Europe. Dent Traumatol. 2015;31:144–9.CrossRefGoogle Scholar
  6. 6.
    Lauridsen E, Blanche P, Amaloo C, Andreasen JO. The risk of healing complications in primary teeth with concussion or subluxation injury-a retrospective cohort study. Dent Traumatol. 2017;33:337–44.CrossRefGoogle Scholar
  7. 7.
    Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with extrusive or lateral luxation-a retrospective cohort study. Dent Traumatol. 2017;33:307–16.CrossRefGoogle Scholar
  8. 8.
    Soporowski NJ, Allred EN, Needleman HL. Luxation injuries of primary anterior teeth--prognosis and related correlates. Pediatr Dent. 1994;16:96–101.PubMedGoogle Scholar
  9. 9.
    Andreasen JO, editor. The dental trauma guide. San Diego: International Association of Dent Traumatology; 2012. https://dentaltraumaguide.org/. Accessed 1/5/19.Google Scholar
  10. 10.
    Holan G, McTigue DJ. Introduction to dental trauma: managing traumatic injuries in the primary dentition. In: Nowak AJ, Christensen JR, Mabry TR, Townsend JA, Wells MH, editors. Pediatric dentistry infancy through adolescence. Philadelphia: Elsevier; 2019. p. 227–43.Google Scholar
  11. 11.
    Holan G, Ram D, Fuks AB. The diagnostic value of lateral extraoral radiography for intruded maxillary primary incisors. Pediatr Dent. 2002;24:38–42.PubMedGoogle Scholar
  12. 12.
    Borum MK, Andreasen JO. Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Endod Dent Traumatol. 1998;14:31–44.CrossRefGoogle Scholar
  13. 13.
    Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with intrusive luxation: a retrospective cohort study. Dent Traumatol. 2017;33:329–36.CrossRefGoogle Scholar
  14. 14.
    Carvalho V, Jacomo DR, Campos V. Frequency of intrusive luxation in deciduous teeth and its effects. Dent Traumatol. 2010;26:304–7.CrossRefGoogle Scholar
  15. 15.
    Altun C, Cehreli ZC, Guven G, Acikel C. Traumatic intrusion of primary teeth and its effects on the permanent successors: a clinical follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:493–8.CrossRefGoogle Scholar
  16. 16.
    De Amorim CS, Americano GCA, Moliterno LFM, de Marsillac MWS, Andrade MRTC, Campos V. Frequency of crown and root dilaceration of permanent incisors after dental trauma to their predecessor teeth. Dent Traumatol. 2018;34:401–5.CrossRefGoogle Scholar
  17. 17.
    Martins-Junior PA, Franco FA, de Barcelos RV, Marques LS, Ramos-Jorge ML. Replantation of avulsed primary teeth: a systematic review. Int J Paediatr Dent. 2014;24:77–83.CrossRefGoogle Scholar
  18. 18.
    Holan G. Replantation of avulsed primary incisors: a critical review of a controversial treatment. Dental Traumatol. 2013;29:178–84.CrossRefGoogle Scholar
  19. 19.
    Kramer DN, Hertli MB, Landolt MA. Evaluation of an early risk screener for PTSD in preschool children after accidental injury. Pediatrics. 2013;132(4):e945–51.CrossRefGoogle Scholar
  20. 20.
    Holan G, Needleman HL. Premature loss of primary anterior teeth due to trauma--potential short- and long-term sequelae. Dent Traumatol. 2014;30:100–6.CrossRefGoogle Scholar
  21. 21.
    Tewari N, Mathur VP, Singh N, Singh S, Pandey RK. Long-term effects of traumatic dental injuries of primary dentition on permanent successors: a retrospective study of 596 teeth. Dent Traumatol. 2018;34:129–34.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Rebecca L. Slayton
    • 1
  • Elizabeth A. Palmer
    • 2
  1. 1.Department of Pediatric DentistryUniversity of Washington School of DentistrySeattleUSA
  2. 2.Department of Pediatric DentistryOregon Health & Science University School of DentistryPortlandUSA

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