IADT treatment guidelines for extrusion

extrusive-luxation4

Clinical findings

  • The tooth appears elongated and is excessively mobile.
  • Sensibility tests will likely give negative results.

Radiographic findings

  • Increased periodontal ligament space apically.

Treatment

  • Reposition the tooth by gently reinserting It into the tooth socket.
  • Stabilize the tooth for 2 weeks using a flexible splint.
  • In mature teeth where pulp necrosis is anticipated, or if several signs and symptoms indicate that the pulp of mature or immature teeth is becoming necrotic, root canal treatment is indicated.

Follow-up

  • 2 weeks – Splint removal, clinical and radiographic examination.
  • 4 weeks – Clinical and radiographic examination.
  • 6-8 weeks – Clinical and radiographic examination.
  • 6 months – Clinical and radiographic examination.
  • 1 year – Clinical and radiographic examination yearly.
  • 5 years –  Clinical and radiographic examination.