IADT treatment guidelines for intrusion

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Clinical findings

  • The tooth is usually displaced through the labial bone plate or can be impinging upon the succedaneous tooth bud.

Radiographic findings

  • When the apex is displaced toward or through the labial bone plate, the apical tip can be visualized and appears shorter than its contra lateral. When the apex is displaced towards the permanent tooth germ, the apical tip cannot be visualized and the tooth appears elongated.

Treatment

  • If the apex is displaced toward or through the labial bone plate, the tooth is left for spontaneous repositioning.
  • If the apex is displaced into the developing tooth germ, extract.

Follow-up

  • 1 week – Clinical examination.
  • 3-4 weeks – Clinical and radiographic examination.
  • 6-8 weeks – Clinical examination.
  • 6 months – Clinical and radiographic examination.
  • 1 year – Clinical and radiographic examination, clinical and radiographic monitoring until eruption of the permanent successor.