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Dental Emergency -- Avulsed Tooth
- Never reimpant a primary tooth. If replaced, primary teeth have a high likelihood of fusing to underlying alveolar bone, which causes dentoalveolar ankylosis and can result in facial deformities
- Never wipe off a tooth, or hold it by the root. The periodontal ligament is easily wiped off and the tooth will not reimplant without it.
- For maximal success, the tooth should be reimplanted within 60 minutes.
- Avoid allowing the periodontal ligament from drying out. Transport the tooth in (listed in order of preference):
- Hanks Solution or EMT Tooth Saver
- Milk
- Saline
- Saliva
- Once the tooth is reimplanted it should be held in place with a wire splint or Coe-Pak that bridges the avulsed tooth to the ones on either side of it.
- Place the patient on antibiotics (Penicillin or Clindamycin) in order to prevent any infections.
- If the avulsed tooth can not be found a Chest X-ray should be obtained to ensure that the tooth was not aspirated.