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Dental intrusion is an apical displacement of the tooth into the alveolar bone.This injury is accompanied by extensive damage to periodontal ligament, cementum, disruption of the neurovascular supply to the pulp, and communication or fracture of the alveolar socket.
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If apex of tooth is displaced towards the palate and making contact with the tooth germ then tooth is extracted Intrusive Luxation: Displacement of tooth into the alveolar bone (pushed into the socket) causing fracture of the alveolar bone. It is the most damaging injury to the tooth and supporting tissues as ankylosis and pulp necrosis can occur.
Trauma to primary teeth occurs most commonly at the age of two to three years, during the development of motor coordination. [7] When primary teeth are injured, the resulting treatment prioritises the safety of the adult tooth, [7] and should avoid any risk of damaging the permanent successors. [8]
Failure to re-plant the avulsed tooth within the first 40 minutes after the injury may result in a less favorable prognosis for the tooth. [15] If the tooth cannot be immediately replaced in its socket, follow the directions for any knocked-out (avulsed) teeth kit, or place it in cold milk or saliva and take it to an emergency room or a dentist.
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Dental trauma is a major global health issue and it affects 17.5% of children and adolescents. [9] It is most commonly seen in school children. Dental subluxation is one of the most common traumatic injuries in primary dentition. Maxillary central incisors are the most commonly affected teeth.