Avulsed tooth

                      Avulsed Tooth 

To a layman, avulsed tooth simply means a
tooth that has fallen out from its position in the socket. The treatment of avulsed tooth is
called replantation. Replantation is the
replacement in its socket of a tooth that has
been avulsed. The tooth usually becomes firm within a few weeks, but the long term
outcome is depended on many factors. The
outcome is most favaourable if the tooth is
replanted within half an hour of avulsion and if, before replantation, the periodontal tissues attached to the root are kept moist and not disturbed.

Under ideal conditions, normal healing
occurs and the tooth remains healthy. Unfortunately the majority of replanted teeth show progressive root resorption, and the tooth may be lost within a few months or it may survive for several years.

     Despite its uncertain outcome replantation of an avulsed permanent tooth is usually justifed. One of the factors determining the prognosis is the length
of time that the tooth remains out of the mouth
(Prevention. Diagnosis. Prognosis READ MORE). Therefore, an individual should be
able to replant the'tooth immediately (assuming there is no un-favourable medical history). The
following instructions should be given :

l  · Hold the tooth by its crown, not by its root.
2 . Remove any particles of dirt that may be
present on the root surface by rinsing with
cold water for a few seconds only or by
dabbing very gently with a wet tissue
(wetted preferably with saliva rather than
with water).
3 . Replant the tooth carefully in its socket
(ensure to differentiate the surfaces i. e sides
ofthe tooth).
4 . Ask the patient to keep it in place by biting
on a clean gauze/cotton wool
5.  Visit to the nearest dental clinic as quickly
as possible.
      If the patient is unwilling or unable to carry out these instructions, direction must be given on how to take the tooth to the nearest dental clinic. This is an
important factor determining the prognosis because it is essential to maintain the vitality of the tissues. attached to the root surface. The ideal method is for
the tooth to be placed in the patient's mouth. IF the patient is unwilling or unable to do this, he or she should place the tooth in milk, which has been shown to be a satisfactory medium. If milk is not
available, the tooth should be placed in a clean tissue or handkerchief moistened with the patient's saliva. Report to the nearest dental clinic where all the appropriate treatment will be carried out.




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