In cases of displaced maxillary permanent central incisors, what is the best course of action?

In cases of displaced maxillary permanent central incisors, the most appropriate course of action is to reposition the tooth using forceps and then splint it for several weeks. This approach is essential for several reasons.

First, immediate repositioning of the tooth can help restore its function and aesthetic position in the dental arch, potentially preventing further complications such as ankylosis or the development of periodontal issues. The use of forceps allows the clinician to gently guide the tooth back into its proper position, which is crucial in maintaining the vitality of the tooth as well as the surrounding structures.

Second, the splinting process, where the repositioned tooth is stabilized to adjacent teeth, is critical for allowing time for healing and ensuring that the tooth does not move out of position during the initial healing phase. This added stability helps to maintain the re-established position of the tooth while the periodontal ligaments and supporting tissues heal.

This method stands in contrast to other options that might delay appropriate care, such as merely reassuring the patient and referring them to an orthodontist, which would be inappropriate in an acute situation like a displaced tooth. Likewise, while fabricating a removable appliance can be useful in certain orthodontic applications, it is not the most immediate and effective treatment for