Question 24 · LDEK · Trauma to permanent teeth
In a 12-year-old boy a lateral luxation of the upper permanent incisor with palatal displacement of the crown was found. No increased mobility of the tooth was found; however, there is a changed, ankyloses-like sound during tapping the tooth and bleeding from the periodontal ligament. No fracture of the root was found in the radiograph. The most adequate proceeding in this case is:
1) reposition of the tooth with digital pressure on the root apex in the palatal direction;
2) reposition of the tooth with digital pressure on the root apex in the incisal edge direction;
3) leaving the tooth for re-eruption;
4) splinting the teeth for 4 weeks;
5) splinting the teeth for 2 weeks. The correct answers is:
2) reposition of the tooth with digital pressure on the root apex in the incisal edge direction;
3) leaving the tooth for re-eruption;
4) splinting the teeth for 4 weeks;
5) splinting the teeth for 2 weeks. The correct answers is:
- A. 1,4.
- B. 1,5.
- C. 2,4.
- D. 2,5.
- E. 3,5.
Hint
In lateral luxation the apex is locked in the labial bone; think which way it must be pushed first to free it, and recall the IADT splinting time.
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