A tooth that is somewhat disturbed but not knocked out or totally displaced from the jawbone is referred to as a "dental subluxation." It is a serious dental injury that should be treated immediately, yet it often heals on its own without the need for invasive treatment.
Depending on the nature of the injury, your dentist may use X-rays to aid in diagnosis and treatment. Flexible splints and constant monitoring are commonly used to treat intrusive luxations.
Dental trauma can happen for a variety of reasons. A sports injury, a slip and fall, or a car accident are examples of these.
The tooth damage can range from minor craze lines on the enamel (a frequent injury following a sports accident) to a major luxation that fully pushes the tooth out of its socket. The severity of the injury can influence the type of therapy needed to restore the tooth's function and appearance.
Concussion and subluxation are the two most common kinds of luxation injuries. A concussion is a minor form of trauma in which the periodontal ligament fibers are damaged but not sufficiently to allow the tooth to loosen or move from its socket. It could be sore to the touch, and the gums could be swollen or bleed.
A common traumatic injury to the primary teeth is dental subluxation. It mainly affects the maxillary central incisors and is distinguished by aberrant tooth movement but no breakage or displacement.
There are numerous forms of tooth luxation injuries, and it is critical to have them assessed by a dentist to establish the severity of the luxation and whether you require treatment. Dentists inspect teeth by feeling for looseness and may take X-rays to see the extent of the damage.
Extrusive dental luxations are the most serious luxation injuries, which occur when the ligaments that hold the tooth in place break down and allow it to move. As a result, the tooth may appear larger or smaller than it did before the injury. It can also cause tissue loss in the root. If this happens, you may require flexible splints or root canals to repair the damage and keep the tooth alive.
When the ligaments and tissues that hold the tooth in place are damaged, dental subluxation occurs. This might happen as a result of sports injuries, vehicle accidents, falls, or other incidents.
This can result in a displaced bone fragment linked to the tooth root via the periosteum, a thin tissue with a plentiful blood supply that nourishes and maintains the bone.
When this bone dislocates, it might cause the teeth to shift as well. The bone fragment frequently appears to push the tooth forwards or backwards, and tapping it produces a metallic sound.
It is critical to treat this injury as soon as possible, particularly in young children, to ensure the highest chance of recovery and tooth retention. The therapy will include relocating the bone fragments and correcting any root damage.
Dental subluxation damages the pulp of your tooth, which is the delicate tissue deep inside your tooth. Your tooth will die if it does not heal and must be pulled.
The pulp is damaged when the tooth is driven out of its socket (alveolar fracture). It can also occur if the nerve is injured or a root canal is not treated immediately.
Concussion, subluxation, and extrusion are the three types of luxation injuries. The first form is a concussion, which occurs when your tooth does not move or loosen but remains sore to touch and bleeds around the gumline.
In this situation, X-rays or other tests may be required to determine what is happening. While pulse tests are more sensitive than X-rays, you may have to wait until your next session to receive a firm diagnosis. Sensitivity testing may initially be negative, although this frequently signals a temporary loss of pulpal response.
