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.
In cases with minor occlusal interference, slight grinding is indicated.
Soft food for 10-14 days.
Good healing following an injury to the teeth and oral tissues depends, in part,
on good oral hygiene. Brush with a soft brush after every meal and apply
chlorhexidine 0.1 % topically to the affected area with cotton swabs twice a day
for one week. This is beneficial to prevent accumulation of plaque and debris
along with recommending a soft diet.
Parents should be further advised about possible complications that
may occur, like swelling, dark discoloration of the crown, increased mobility or fistula. Children may not
complain about pain; however, infection may be present and parents should watch
for signs of swelling of the gums and bring the child in for treatment.
Clinical control after 1 and 2-3 weeks. Clinical and radiographic control at 6-8 weeks and 1 year.