RT Book, Section A1 Jauch, Edward C. A1 Valdez, J. Amadeo A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181040528 T1 Tooth Impaction (Intrusive Luxation) T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181040528 RD 2024/04/19 AB Impacted or intruded teeth result when a tooth is forced deeper into the alveolar socket or surrounding tissues as a result of trauma. The tooth appears shorter than its contralateral mirror. An impacted tooth may be partially visible or completely hidden by the gingiva and buried in the alveolar process. Completely impacted teeth may erroneously be considered avulsed until a radiograph demonstrates the intruded position. The apex of a completely impacted permanent central incisor may be driven through the alveolar bone into the floor of the nares, causing epistaxis. Associated injuries may include alveolar fractures, dental crown or root fractures, and oral mucosal or gingival lacerations. Pulp necrosis occurs in 15% to 50% of cases.