Management of Luxation Injuries in Children

Dental trauma is not a disease but rather an unfortunate impact injury to the teeth and mouth that can arise from any activity of daily living. Among all the orofacial injuries, Traumatic dental injuries (TDI) are one of the most prevalent. Amounting to 18% of all injuries in children from 0 to 6 years of age. The primary teeth are highly liable to luxation (displacement) injuries constituting 21%–81% of all the TDI. These injuries may present with minimal symptoms as in concussion to serious injuries as in intrusion. Luxation injuries can be classified into various types according to the degree of displacement viz. : concussion, subluxation, lateral luxation, extrusion, intrusion, and avulsion. The treatment strategy after injury to a permanent tooth is dictated by the concern for vitality of the pulp and periodontal ligament. To determine efficiently the extent of injury and correctly diagnose injuries to the teeth, periodontal ligament and associated structures, a systematic approach to the traumatized child is essential.