IADT treatment guidelines for extrusion
- Partial displacement of the tooth out of its socket.
- The tooth appears elongated and can be excessively mobile.
- Increased periodontal ligament space apically.
- Treatment decisions are based on the degree of displacement, mobility, root formation and the ability of the child to cope with the emergency situation.
- For minor extrusion (< 3mm) in an immature developing tooth, careful repositioning or leaving the tooth for spontaneous alignment can be treatment options.
- Extraction is the treatment of choice for severe extrusion in a fully formed primary tooth.
- 1 week – Clinical examination.
- 6-8 weeks – Clinical and radiographic examination.
- 6 months – Clinical and radiographic examination.
- 1 year – Clinical and radiographic examination.
Discoloration might occur. Dark discolored teeth should be followed carefully to detect signs of infection as soon as possible.