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The avulsed tooth
- 1. Shaharyar Khan OMFS THE AVULSED TOOTH
- 2. TOOTH AVULSION • A tooth that has been completely displaced from its socket. • The avulsion of a permanent tooth is one of the few emergency situations in dentistry.
- 3. MANAGEMENT • Deciduous teeth • Permanent teeth
- 4. DECIDUOUS TEETH • DO NOT REPLANT THE TOOTH • Damage to the developing permanent tooth • Risk of ankylosis • Make sure that the tooth is not intruded • Stitch the soft tissue lacerations
- 5. PERMANENT TEETH • Immediate replantation • Replantation within 1 hour • Extra-oral dry time < 20 min • Extra-oral dry time 20-60 min • Replantation after 1 hour
- 6. IMMEDIATE REPLANTATION • Best prognosis • Prognosis of the tooth is inversely related to the extraoral dry time
- 7. PROCEDURE • Gently wash the socket to remove any debris. • Rinse the tooth in cold, running tap water for 10 seconds. • DO NOT SCRUB THE TOOTH!!! • Hold the tooth with the crown and gently replace it in the socket. (Avoid touching the root) • Hold the tooth in position or Have the patient bite on a handkerchief • Seek dental care immediately.
- 8. WHAT IF IMMEDIATE REPLANTATION IS NOT POSSIBLE??? • The patient should bring the tooth to the dentist as soon as possible. • Reduce the dry-time – Keep the tooth moist • Transport media • Hanks balanced salt solution • Normal Saline • Milk • Saliva (Buccal vestibule) • Do Not use tap water
- 9. SAVE YOUR TOOTH Poster published by International association of dental traumatology, 2011
- 10. REFERENCES • Torabinejad M., Walton R.E., Endodontic Principles and Practice, 4th ed. • IADT “Save your tooth” poster • Dental Trauma Guide 2010