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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Dental Trauma, continued

1. Concussion
Concussion involved injury to supporting structures of the tooth, without loosening or displacement. Tooth is tender to percussion.

Recommended treatment:

 
Stick to a soft diet for 2 weeks.
 
Monitor for changes in tooth color.
 
Refer to dentist for nonurgent evaluation.

2. Subluxation
Subluxation involves injury to supporting structures of the tooth with loosening but no displacement. The tooth is tender to percussion, with bleeding at the gingival margin.

Recommended treatment:

 
Stick to a soft diet for 2 weeks.
 
Dental follow-up, may splint permanent teeth.
 
Monitor for changes in tooth color that may indicate pulp necrosis.

3. Lateral Luxation
Lateral luxation involves injury to the tooth and its supporting structures, resulting in tooth displacement. The injured tooth is at risk for pulpal necrosis and root resorption. 

This type of injury requires prompt referral to a dentist for repositioning of the injured tooth/teeth.

Even primary teeth should be examined by a dentist, because the Underlying permanent tooth may be injured.

 
Fast Facts
 
All permanent tooth injuries should be examined by a dentist, with the timeframe dictated by the type of injury.
 
Repositioning and splinting may be required for permanent tooth injuries.
 
90% of intruded primary teeth re-erupt within 6 months.

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