A permanent tooth is laterally luxated (displaced and locked in a new position) after trauma. Appropriate management is to:

Laterally luxated teeth are repositioned (usually under local anesthesia to disengage the apex from the bony lock) and splinted, then the pulp is monitored; mature teeth often need endodontic therapy because of pulp-necrosis risk.Other options: Extraction or leaving it displaced is inappropriate for a repositionable tooth; occlusal adjustment alone does not address the displacement.Key exam takeaway: Luxation injuries: reposition, splint, and monitor the pulp; watch for necrosis in mature teeth.