AVULSION AND ITS MANAGEMENT

  AVULSION :  Dental avulsion is the complete displacement of a tooth from its socket. 





  • CAUSES :                                                                                                                                                                       Trauma to the face and mouth from sports or other accidents can cause teeth to fracture,loosen or even knocked completely out of its socket.  


  • MANAGEMENT :               

                              Management at site of injury: • Replant immediately. If possible. Rinse with water before replanting if the tooth is contaminated. When immediate replantation is not possible, place tooth in the best available transport medium available.(SALINE,MILK,COCONUT WATER Hank’s balanced salt solution(HBSS).    

                                  Management in dental office:                                                                                                                                                                   • Replantation of tooth.

                                                               •  if tooth has been in any media,replant immediately.

  1.                                                   • If extra oral dry time is less then 15 min, replant immediately if the root apex is closed, subsequently root canal therapy may be required. If the root apepx is open replant the tooth and monitor the tooth for pulpal pathosis.
  2.                                                              • If extra oral dry time is greater than 15 min rinse with saline and replant only if the root apex is closed because replanting the tooth with open apex increases the risk of ankylosis.

                                  Management of the root surface :

                                                                    •Do not touch the root surface, hold tooth by the crown

                                                                    •Do not scrape or brush the root surface

                                                                  . •If the root appears clean, replant as it is after rinsing with saline.  

                                                                    • If the root surface is contaminated, rinse with Hank’s balanced salt solution (HBSS) or saline

                                 Splinting :  • Use acid-etch resin or with soft arch wire, or use orthodontic brackets with passive arch wire.                             
                                                     •Splint should remain in place for 7-10 days. However if tooth demonstrates excessive mobility splint should be maintained until mobility reduces.


                  We at Dr.Vivek's MSRams dentistry have provided effective treatment to many patients and the outcome of the procedure was successful. To know more about us click here.



                                              MSR DENTISTRY  AND IMPLANT CENTER.


                                                                         Address:-
                                                                  Vallarlar Illam NO 68,
                                                                         Anna  Street,
                                                                      Chitlapakkam,
                                                                     Chennai - 600064.
                        Landmark : Near Gangai amman koil                      
 

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