A patient presents minutes after a maxillary permanent central incision has been traumatized but not fractured. The crown is displaced facially. What is the best course of action?

In the case of a traumatized maxillary permanent central incisor that is displaced facially but not fractured, the best course of action is to reposition the tooth with forceps and then splint it for several weeks. This approach is warranted because when a permanent tooth is displaced, especially into a facial position, it may be at risk of further damage to the periodontal ligament and surrounding tissues.

Repositioning the tooth involves gently manipulating it back into its proper position within the dental arch, which can help restore its function and aesthetics immediately. Following this, splinting the tooth helps stabilize it, allowing time for the supportive structures, including the periodontal ligament, to heal.

Other approaches, such as merely reassuring the patient or referring them to an orthodontist, do not address the immediate need for repositioning and stabilization of the tooth. Fabricating a removable ortho appliance may be less effective and could prolong treatment unnecessarily. Taking a radiograph and pulp testing the tooth is vital in evaluating potential internal damage, but it fails to provide immediate management to prevent further complications. Therefore, repositioning and splinting effectively address the immediate concerns regarding the traumatic displacement.