Lateral Luxation Management in Young Permanent Teeth: An Effort to Prevent Pulp and Periodontal Pathologies

Abstract

Introduction: Lateral luxation is one of the dentoalveolar injuries in children with 11% incidence among young permanent teeth. Tooth repositioning as soon as possible is needed to stabilize the tooth in the actual anatomical condition, restore esthetic, and function as well as preventing pulp or periodontal pathologies. Case Report: An 8-year-old girl came with complaints of wobbling of two upper left front teeth due to accidentally hitting the fence while playing. Case Management: Digital pressure was used to reposition the lateral luxated teeth, which were then stabilized with a fiber splint and monitored every week for two weeks. Discussion: Management of lateral luxation with repositioning and fixation gives good results. The results of treatment control showed that there was no wobble, good occlusion, function, and aesthetics. Conclusion: Management of lateral luxation with exposed apex using digitation repositioned and fiber splint is recommended as an attempt to prevent pulp and periodontal pathology for immature permanent teeth. This method provide fast procedures, good aesthetics, function, and patient comfort. However long term observation is required to confirm the success rate.