Research and clinical studies have shown that a tooth that
has gotten knocked out (an avulsed tooth) can be successfully put back in the
socket (reimplanted) with excellent long-term results. However, this success can only be realized if
new treatment regimens are applied.
There are eight categories of avulsed teeth and treatment
guidelines for each one of them. The
first four categories involve mature teeth that have fully developed roots and
fully formed root tips. The next four
categories are for teeth that are immature and are not fully developed and have
root tips that are incompletely formed.
Thirty years ago, the recommendations to patients for the
management of avulsed teeth was a simple, “one-size-fits-all approach: retrieve
the teeth, wash them off, and push them back into their sockets. If that is not possible, the patient should
drop them in a cup of milk and get to the dentist as quickly as possible.
For dentists, too, 30 years ago it was just as much a
one-size-fits-all approach: remove teeth from the transportation device, do the
root canal therapy in their hand, reimplant the teeth and splint them into
place, prepare the patient’s parents for eventual failure and hope that the
subsequent root resorption would leave the crown of the tooth in place until
the patient was 18.
For patients, the only liquid that has clearly shown
beneficial effects preserving the root cells is a pH-balanced solution. There are two products available on the market
for parents and sports teams to have on hand in case of an accident:
Save-A-Tooth and emt TOOTHSAVER.
Significant success rates of reimplanted avulsed teeth can be achieved
if they are placed within 60 minutes of the accident and stored in either of these
products before visiting the dentist.
For information about other dental topics visit
www.TavorminaDentistry.com
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