Among these injuries, extrusive and lateral luxation—where a tooth is partially displaced out of or sideways within its socket—carry a high risk of pulpal and periodontal complications, including pulpal necrosis and obliteration.
Traditional treatment relies on manual repositioning and flexible splinting, but there remains a conspicuous lack of consensus on standardized protocols, especially when intervention is delayed beyond 3 to 12 hours post‑injury.
The review “Extrusive and Lateral Luxation Injuries in Permanent Teeth: Literature Review and Treatment Complications Update”, authored by Spinas, Zangani, Mallus, Marogna, and Carboni, and published in June 2024 in the European Journal of Paediatric Dentistry (Vol. 25, Issue 2, pages 163–167), sets out to systematically address these gaps.
Drawing on a comprehensive PRISMA‑guided literature search conducted between November 2023 and March 2024, the authors evaluate whether orthodontic repositioning offers a viable alternative to manual or surgical repositioning in subacute (3+ hours) or delayed (24+ hours) cases.
They also rigorously assess the incidence and management of key complications:
✔ Pulp canal obliteration.
✔ Pulpal necrosis.
✔ The less frequently reported—but clinically important—physiological pulp survival.
This focused update not only highlights evolving treatment modalities but also underscores the need to recognize multiple potential outcomes—beyond necrosis and obliteration—even when intervention is not immediate.
The authors’ synthesis aims to guide clinicians in making evidence‑based decisions under time‑sensitive conditions
For clinicians, researchers, and dental professionals seeking deeper insights and clear guidance on managing these complex traumatic injuries, we invite you to access and read the Full article in PDF.
