Intrusive Luxation Management and Outcomes

The video discusses dental trauma, specifically intrusive luxation in mature and immature permanent teeth. It covers the clinical features, radiographic assessment, and management strategies for intruded teeth. The management differs for immature and mature teeth, with options including spontaneous, orthodontic, and surgical repositioning. Follow-up visits are crucial to monitor outcomes, which can be favorable or unfavorable depending on the treatment and tooth condition.

What is the primary characteristic of intrusive luxation in permanent teeth?

• Tooth rotation

• Tooth displacement in a coronal direction

• Tooth displacement in an apical direction

• Tooth elongation

Which sound is typically heard during a percussion test on an intruded tooth?

• No sound

• High metallic sound

• Low buzzing sound

• Dull thud

What is the recommended initial management for intrusive luxation in immature teeth?

• Immediate surgical repositioning

• Immediate orthodontic repositioning

• Spontaneous repositioning

• Extraction

For mature teeth intruded by 3 mm, what is the first step in management?

• Immediate orthodontic repositioning

• Immediate extraction

• Allow spontaneous re-eruption

• Immediate surgical repositioning

What is a common outcome for mature teeth with complete root formation after intrusive luxation?

• Spontaneous re-eruption

• Necrosis

• Immediate healing

• No change

What is the purpose of using corticosteroid antibiotic or calcium hydroxide in root canal treatment?

• To reduce tooth sensitivity

• To enhance tooth color

• To prevent inflammatory external resorption

• To promote tooth growth

How often should follow-up visits occur after the initial treatment of intrusive luxation?

• At two weeks, four weeks, eight weeks, 12 weeks, six months, then yearly

• Only once a year

• Every two weeks for six months

• Every month for a year

What is a favorable outcome for an intruded tooth?

• Tooth remains immobile

• Tooth becomes symptomatic

• Tooth starts re-erupting

• Tooth shows signs of resorption

What should be done if external inflammatory resorption is detected?

• Extract the tooth

• Wait for spontaneous healing

• Apply fluoride treatment

• Initiate root canal treatment immediately

What is a sign of an unfavorable outcome in intruded teeth?

• Positive pulp sensibility test

• External inflammatory resorption

• Intact lamina dura

• Continued root development