Experts consensus on management of tooth luxation and avulsion

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 in...

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Published in:International journal of oral science 2024-09, Vol.16 (1), p.57-12, Article 57
Main Authors: Huang, Ruijie, 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
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692/699/3017
692/699/578
Adolescent
Child
Concussion
Consensus
Dental pulp
Dentistry
Fractures
Humans
Management
Medicine
Oral and Maxillofacial Surgery
Orthodontics
Orthopedics
Periodontal ligament
Periodontal Ligament - injuries
Review Article
Surgical Orthopedics
Teeth
Tooth Avulsion - therapy
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container_title International journal of oral science
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creator Huang, Ruijie
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
description 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.
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subjects 692/699/3017
692/699/578
Adolescent
Child
Concussion
Consensus
Dental pulp
Dentistry
Fractures
Humans
Management
Medicine
Oral and Maxillofacial Surgery
Orthodontics
Orthopedics
Periodontal ligament
Periodontal Ligament - injuries
Review Article
Surgical Orthopedics
Teeth
Tooth Avulsion - therapy
title Experts consensus on management of tooth luxation and avulsion
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