Intrusive Luxation Definition — ORE Part 1 MCQ
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Correct answer: D — Intrusive luxation
Explanation lettering: B = shown as A · E = shown as B · D = shown as C · A = shown as D · C = shown as E
The correct answer is A: Intrusive luxation. This injury is defined as apical (inward) displacement of a tooth into its socket following an axial impact force that drives the tooth bodily deeper into the alveolus. Extrusive luxation (B) involves the opposite—partial or total displacement outward. Lateral luxation (C) involves bucco-lingual or mesio-distal displacement, not apical. Subluxation (D) describes increased mobility without actual displacement. Avulsion (E) is complete separation from the socket. Intrusive luxation represents one of the most severe dental trauma types because of extensive damage to the periodontal ligament, pulp, and alveolar bone.
Reference: Andreasen JO, Andreasen FM (WHO ICD Dental Trauma Classification). Intrusive luxation defined as apical displacement into socket; applied in international consensus and UK SDCEP trauma management protocols. See The Lancet Global Health 2018 (Index 5-2) and peer-reviewed case reports (PMC8166499, PMC4352940, PubMed 26208064). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166499/