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VOLUME 18 , ISSUE 3 ( March, 2017 ) > List of Articles


Treatment of Extrusive Luxation in Permanent Teeth: Literature Review with Systematic Criteria

Roberta Okamoto, Lorraine P de Faria, Marina F Amaral, Melyna M de Almeida, Daniela A Brandini, Wilson R Poi

Citation Information : Okamoto R, de Faria LP, Amaral MF, de Almeida MM, Brandini DA, Poi WR. Treatment of Extrusive Luxation in Permanent Teeth: Literature Review with Systematic Criteria. J Contemp Dent Pract 2017; 18 (3):241-245.

DOI: 10.5005/jp-journals-10024-2024

Published Online: 00-03-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.



Extrusive luxation is a traumatic dental injury caused by the action of oblique forces, characterized by partial displacement of the tooth out of its socket. The ideal treatment for this type of trauma involves repositioning the tooth in its socket. However, in cases where the tooth cannot be repositioned, different options may be considered, such as intentional reattachment and orthodontic intrusion. The aim is to review the literature on the extrusive luxation of permanent teeth while assessing the risks of complications for two methods of delayed treatment for extrusive luxation.

Materials and methods

An electronic search from August 2005 to August 2014 was performed by two reviewers independently, and conflicts were resolved by a third reviewer. The databases used were PubMed and Scopus; the reviewers performed a manual search of the following journals: Dental Traumatology, American Journal of Orthodontics, and Clinical Oral Investigation.


After removing the duplicate studies, 328 articles were found. Out of these, 321 were rejected as not addressing the proposed research topic. In addition, five articles were excluded because apical repositioning was used for treatment. Therefore, four articles formed the basis of the study.


Factors, such as root formation, the degree of tooth mobility, and the presence of tooth vitality were decisive for the choice of treatment. However, both treatments were effective and showed favorable results, i.e., without periodontal and root damage.

Clinical Significance

Knowledge of the risks of complications among two methods of delayed treatment for extrusive luxation, as well as other important factors to take into consideration when choosing a treatment assists dentists in improving the prognostic.

How to cite this article

Amaral MF, de Almeida MM, de Faria LP, Brandini DA, Poi WR, Okamoto R. Treatment of Extrusive Luxation in Permanent Teeth: Literature Review with Systematic Criteria. J Contemp Dent Pract 2017;18(3):241-245.

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  1. ; Andreasen, FM.; Bakland, LK.; Flores, MT. Traumatic dental injuries – the guide. Oxford: Blackwell Munksgaard; 2003.
  2. ; Andreasen, JO. Extrusive luxation and lateral luxation. In: Andreasen, JO.; Andreasen, FM.; Andersson, L., editors. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford: Blackwell; 2007. p. 411-427.
  3. Incidence of traumatic tooth injuries in children and adolescents in the county of Västmanland, Sweden. Swed Dent J 1996;20(1-2):15-28.
  4. A follow-up study of injuries to permanent and primary teeth in children. Proc Finn Dent Soc 1976 Oct;72(5):152-162.
  5. ; Valera, MC. Injuries by luxation. In: Araújo, MA.; Valera, MC., editors. Clinical treatment of dental trauma. 1st ed. São Paulo: Artes Médicas; 1999. p. 187-196.
  6. ; Andreasen, FM.; Andersson, L. Textbook and color atlas of traumatic injuries of the teeth. Oxford: Blackwell Munksgaard; 2007. p. 351-358.
  7. Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth. Dent Traumatol 2007 Apr;23(2):66-71.
  8. Tooth splinting: a review of the literature and consideration of the versatility of a wire-composite splint. Endod Dent Traumatol 1990 Dec;6(6):237-250.
  9. Luxation injuries. Dent Clin North Am 1995 Jan;39(1):79-91.
  10. Intentional replantation of a hopeless tooth with the combination of platelet rich plasma, bioactive glass graft material and non-resorbable membrane: a case report. Dent Traumatol 2007 Jun;23(3):190-194.
  11. A proposal for classification of tooth fractures based on treatment need. J Oral Sci 2010 Dec;52(4):517-529.
  12. Treatment of extrusive luxation by intentional replantation. Int J Paediatr Dent 2007 Mar;17(2):134-138.
  13. Combination injuries 3. The risk of pulp necrosis in permanent teeth with extrusion or lateral luxation and concomitant crown fractures without pulp exposure. Dent Traumatol 2012 Oct;28(5):379-385.
  14. Combined apexification and orthodontic intrusion of a traumatically extruded immature permanent incisor. Dent Traumatol 2002 Feb;18(1):37-41.
  15. Dental traumatology: essential diagnosis and treatment planning. Endod Topics 2004 Mar;7(1):14-34.
  16. The case against intentional replantation. J Am Dent Assoc 1980 May;100(5):664-668.
  17. Diagnosis and management of sports-related injuries to the teeth. Dent Clin North Am 1991 Oct;35(4):733-756.
  18. Management of chronic luxated central incisor with hopeless prognosis. J Indian Soc Periodontol 2013 Sep;17(5):670-675.
  19. ; Andreasen, FM. Textbook and color atlas of traumatic injuries to the teeth. Copenhagen: Munksgaard; 1994. p. 317-343.
  20. Multidisciplinary approach to delayed treatment of traumatic teeth injuries involving extrusive luxation, avulsion and crown fracture. Oper Dent 2014 Nov-Dec;39(6):566-571.
  21. Fixed orthodontic appliances in the management of severe dental trauma in mixed dentition: a case report. J Can Dent Assoc 2013;79:d131.
  22. Delayed multidisciplinary management of an extrusively luxated maxillary central incisor. Dent Traumatol 2007 Apr;23(2):82-84.
  23. Pulpal healing after luxation injuries and root fracture in the permanent dentition. Endod Dent Traumatol 1989 Jun;5(3):111-131.
  24. Clinical outcomes for permanent incisor luxations in a pediatric population. II. Extrusions. Dent Traumatol 2003 Oct;19(5):274-279.
  25. Prognosis of luxated permanent teeth – the development of pulp necrosis. Endod Dent Traumatol 1985 Dec;1(6):207-220.
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