Question: What does an extruded tooth look like and what should I do?
Explanation: An extruded tooth has been partially pulled out of its socket, so it appears longer than the teeth beside it. The periodontal ligament is largely torn and the tooth is very mobile, often getting in the way when the mouth is closed. Unlike avulsion, the tooth is still attached. Treatment involves gently repositioning the tooth back into its socket under local anaesthetic and splinting it for around two weeks. Pulp survival depends on how far the tooth was displaced and whether the root apex is still open.
Related Questions:
Can I push an extruded tooth back in myself?
It is better not to. Pushing on a tooth without anaesthetic is painful and you may seat it incorrectly or introduce bacteria. If a dentist is more than an hour away and the tooth is obstructing closure, very gentle pressure along the long axis is acceptable, but proper repositioning should still follow.
How long is the splint kept on an extruded tooth?
Around two weeks is standard for uncomplicated extrusion. A flexible splint permits slight physiological movement, which encourages proper ligament healing. Longer periods are reserved for cases with accompanying bone fracture.
Will the tooth change colour after extrusion?
It may. Greyish discolouration developing over weeks to months usually signals pulp necrosis and the need for root canal treatment. A transient pink or yellow tint can occur with healing. Only a dentist can distinguish these reliably.
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