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Lateral luxation: Is root resorption an unavoidable complication?
Ines Kallel1,2,3, Malek Lagha2,3, Eya Moussaoui1,2,3
1Department of Dental Medicine Hospital Sahloul Sousse Tunisia.
Clinical Case Reports
|May 23, 2022
Summary
Lateral luxation, a tooth displacement injury, requires prompt repositioning and splinting. Early root canal treatment is advised to prevent pulp necrosis and potential complications like root resorption.
Area of Science:
- Dentistry
- Endodontics
- Traumatology
Background:
- Lateral luxation involves traumatic displacement of a tooth, often resulting in immobility due to a bony lock.
- Clinical signs include a high metallic sound on percussion and initially negative pulp sensibility tests.
Observation:
- Management involves local anesthesia, soft tissue repair, manual repositioning, and flexible splinting for 4 weeks.
- Immediate prophylactic root canal treatment is recommended due to the risk of pulp necrosis, especially in teeth with closed apices and severe displacement.
Findings:
- This case report details the management of lateral luxation in a permanent tooth with reduction, steel wire/composite resin splinting, and endodontic treatment.
- A significant complication observed was root resorption occurring 3 months post-treatment.
Implications:
- The study highlights the importance of monitoring for complications such as root resorption after treating lateral luxation.
- Prompt and appropriate management, including endodontic intervention, is crucial for preserving tooth vitality and function following traumatic dental injuries.
