Trauma Guidelines

Concussion -
No treatment is needed only observation.
Soft food for 1 week
Clinical control at 1 week, 6-8 weeks

Subluxation -
No treatment is needed. Observation
Soft food for 1 week
Clinical control at 1 week, 6-8 weeks

Extrusion -
For minor extrusion (< 3mm) in an immature developing tooth, either careful reposition the tooth or leave the tooth for spontaneous alignment.
Extraction is the treatment of choice for severe extrusion in a fully formed primary tooth.
Soft food for 1 week.
Clinical control after 1 week. Clinical and radiographic control at 6-8 weeks, 6 months, and 1 year.

Lateral luxation -
If there is no occlusal interference, as is often the case in anterior open bites, the tooth should be allowed to reposition spontaneously.
When there is occlusal interference local anesthesia should be applied where after the tooth should be repositioned by gentle combined labial and palatal pressure.
For teeth with severe displacement in a labial direction, extraction is the treatment of choice. Extraction is indicated in these cases because of the collision between the primary tooth and the permanent tooth germ.
Soft food for 10-14 days.
Clinical control after 1 and 2-3 weeks. Clinical and radiographic control at 6-8 weeks and 1 year.














Dental Trauma Guide 2010 - produced in cooperation with the Resource Centre for Rare Oral Diseases and Department of Oral and Maxillo-Facial Surgery at the University Hospital of Copenhagen.