Dental luxation, fracture or avulsion - NYSORA

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Dental luxation, fracture or avulsion

Dental luxation, fracture or avulsion

Learning objectives

  • Management of dental emergencies resulting from airway management to maximize the chances of saving the tooth

Definition & mechanisms

  • Tooth luxation occurs when trauma disrupts the tissues, ligaments, and bone that hold the tooth in place
  • Can also affect the tooth’s nerves and blood supply
  • Tooth avulsion occurs when the tooth is completely dislodged from its socket
  • Avulsed teeth are dental emergencies and require immediate treatment

Signs and symptoms

  • Teeth that are mobile or completely dislodged from the jaw due to airway management

Risk factors

  • Bad dental hygiëne
  • Difficult intubation
  • Laryngoscopy by an inexperienced operator

Management

Dental luxation, fracture or avulsion, dentist, dehydration, milk, HBSS, saliva, saline, ER

Suggested reading

  • Bourguignon C, Cohenca N, Lauridsen E, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dent Traumatol. 2020;36(4):314-330.
  • Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36(4):331-42.

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