IADT treatment guidelines for subluxation

subluxation4

Clinical findings

  • The tooth is tender to touch or tapping and has increased mobility; it has not been displaced.
  •  Bleeding from gingival crevice may be noted.
  •  Sensibility testing may be negative initially indicating transient pulpal damage.
  • Monitor pulpal response until a definitive pulpal diagnosis can be made.

Radiographic findings

  • Radiographic abnormalities are usually not found.

Treatment

  • Normally no treatment is needed, however, a flexible splint to stabilize the tooth for patient comfort can be used for up to 2 weeks.

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.