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Pediatric Dentistry

How do I treat a primary tooth intrusion?

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This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Jennifer MacLellan. It is also available on Oasis Help

Definition

Intruded primary incisor following a traumatic injury

Presentation

Investigation

Diagnosis

Treatment 1

Treatment 2

Treatment 3

Resources

  1. American Academy of Pediatric Dentistry. AAPD Reference Manual. Guidelines on management of acute dental trauma. [Revised 2011; accessed 2013 Mar 5]. Available:www.aapd.org/media/Policies_Guidelines/G_Trauma.pdf
  2. The University Hospital of Copenhagen and IADT. The dental trauma guide. [Accessed 2013 Mar 5]. Available from:www.dentaltraumaguide.org/Primary_Intrusion_Description.aspx
  3. Holan G, Ram D, Fuks A. The diagnostic value of lateral extraoral radiography for intruded maxillary primary incisors. Pediatr Dent. 2002;24(1):38-42.
  4. Holan G, McTigue D. Introduction to dental trauma: Managing traumatic injuries in the primary dentition. In: Pinkham JR, Casamassimo PS, Fields HW Jr, McTigue DJ, Nowak A, eds. Pediatric Dentistry: Infancy through Adolescence. 4th ed. St. Louis, Mo: Elsevier Saunders; 2005. p. 236-56.
  5. Flores M, Malmgren B, Andersson L, Andreason JO, Bakland K, Barnett F, et al. Guidelines for the management of traumatic dental injuries. III. Primary teeth. Dent Traumatol.2007;23(4):196-202.
  6. Holan G, Ram D. Sequelae and prognosis of intruded primary incisors: a retrospective study. Pediatr Dent. 1999;21:242-7.
  7. von Arx T. Developmental disturbances of permanent teeth following trauma to the primary dentition. Austr Dent J. 1993;38(1):1-10.

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