Extrusion - Treatment Guidelines

Treatment

The treatment choice should be based on the degree of displacement, mobility, root formation and the ability of the child to cope with the emergency situation.

For minor extrusion (< 3mm) in an immature developing tooth, either careful reposition the tooth or leave the tooth for spontaneous alignment.

Extraction is the treatment of choice for severe extrusion in a fully formed primary tooth.

Patient instructions

• Soft food for 1 week.
• Good healing following an injury to the teeth and oral tissues depends, in part, on good oral hygiene. Brush with a soft brush after every meal and apply chlorhexidine 0.1 % topically to the affected area with cotton swabs twice a day for one week. This is beneficial to prevent accumulation of plaque and debris along with recommending a soft diet.
  
  Parents should be further advised about possible complications that may occur, like swelling, dark discoloration of the crown, increased mobility or fistula. Children may not complain about pain; however, infection may be present and parents should watch for signs of swelling of the gums and bring the child in for treatment.

Follow-up

• Clinical control after 1 weeks. Clinical and radiographic control at 6-8 weeks, 6 months, and 1 year.