Indications An avulsed, extruded, laterally luxated, or severely subluxed (ie, mobile, painful, and possibly bleeding) permanent tooth Contraindications Absolute contraindications Primary tooth involvement Intruded tooth (pushed deeper into socket) Significant alveolar fracture, socket damage, or fractured or grossly decayed permanent tooth Moderate / severe periodontal disease in the area of the injured tooth Such patients should be referred to a dentist or oral surgeon for management.