Tooth avulsion and its management

What if a tooth gets knocked in an accident??? Is that so we lose that tooth permanently??? No, there are still ways to save those from further damage by acting promptly. Trauma can occur anytime. Depend on the amount of injury occured, it can be treated from the conservative way to an advanced procedures.

Irrespective of the level of injury, from mild blow to the massive tear, it is a must to visit your dentist immediately. This helps a lot to prevent from massive damage to the tooth and its supporting structures.

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Now, what can we do if a tooth completely comes out of the socket due to a heavy blow or an accident!!!! Can we fix our own natural tooth into our socket as before and give a rebirth to it???? Yes offcourse we can…But this is highly depends on how fast we act and how effectively we handle the avulsed tooth.

yes, there are certain procedures to be followed to preserve the structure from further damage so as to get the proper fixation of the same tooth without losing its quality and function.

It includes,

  • Hold the tooth only on the crown portion and DO NOT touch or scrap the root portion of the tooth ( touching the root portion will damage the periodontal ligament )
  • wash the tooth in the running water or milk for about 10 seconds. ( this ensures the wash off of infection)

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  • Rinse your mouth as well
  • Try to replace the tooth back into the socket using gentle, steady finger pressure ( do only if the person can able to tolerate the pain). Align the tooth properly and insert into the socket and hold it for 5 minutes

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If the tooth cannot be replaced into the socket, then care in transporting that tooth to the dentist becomes essential. The tooth must be carried in a moist vehicle to maintain the viability of the torn periodontal ligament.

The tooth SHOULD NOT be wrapped in a dry handkerchief or paper tissue because the periodontal ligament will become dehydrated.

Commonly available transport medium for the avulsed tooth includes,

  • Raw milk ( either place the tooth in the cup of milk or in a plastic bag with milk and place it in the cup of ice cubes)

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  • Tender coconut
  • own saliva ( simply place the tooth in the mouth inbetween the cheeks and the gums)
  • Least preferably plain water

Other solutions includes,

  • HBSS (hanks balanced salt solution)
  • physiological saline solution

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It is to be noted that extraoral time for an avulsed tooth optimally should not exceed 20 minutes for proper re plantation without quality degradation, the person must be taken to dentist immediately. The sooner the replantation, the better the prognosis.

 

References:

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