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Oasis Podcasts Pediatric Dentistry Supporting Your Practice

Audio File: What is the emergency treatment of an avulsed tooth?

Podcast Icon SmallThis question was submitted by a general dentist: What is the emergency treatment of an avulsed tooth?  

Dr. Suham Alexander interviewed Drs. Rodrigo Sanches Cunha, DDS MSc PhD FRCD(C) and Scott Leckie DMD about the treatment of the emergency scenario of avulsed tooth. 

Listen to the Audio Interview 

 

View the PowerPoint Presentation of the Avulsed Tooth Treatment

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Further Resources

Flowchart: Emergency Treatment – Avulsed Teeth with Closed & Open Apices

Lars Andersson et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012 Apr;28(2):88-96.

https://itunes.apple.com/app/id527527459 

Do you have any particular question on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca

You are invited to comment on this post and provide further insights by posting in the comment box which you will find by clicking on “Post a reply” below. You are welcome to remain anonymous and your email address will not be posted. 

 

6 Comments

  1. kendo@endosolns.com June 4, 2014

    http://www.dentaltraumaguide.org – or FB group International Association of Dental Traumatology

    Reply
    1. Rodrigo Cunha June 18, 2014

      Thank you Dr. Serota!

  2. Dr. Ken Miller June 10, 2014

    What topical antibiotic would the authors suggest to place on an open apex re-implantation tooth? A specific antibiotic type or name was not mentioned in the interview.
    If Hank’s Balanced Salt Solution is the best, can we tell the parent to make it up using a certain amount of table salt in a cup of water?
    Thank you for this post.

    Reply
    1. Rodrigo Cunha June 18, 2014

      Dear Dr. Ken Miller,
      Thank you for submitting your question.
      The topical Antibiotic that I would suggest is Doxycycline (Shaul L, Omri E, Zuckerman O, Imad Ael-N. Root surface conditioning in closed apex avulsed teeth: a clinical concept and case report.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Sep;108(3):e125-8.)

      Now, for the second question, I would advise the parents to keep the tooth inside cold milk, it is easily available and has great results.
      Regards!

  3. Helen June 11, 2014

    Hello,

    If the tooth was outside the mouth and not stored in any media for over 24 hours, should we still consider replantation of the avulsed tooth?

    Reply
    1. Rodrigo Cunha June 18, 2014

      Dear Helen,
      If a tooth is kept outside the mouth for 24 hours I do not see any indication for reimplantation of the avulsed tooth. The PDL cells are going to be dead and the prognosis is poor.
      Thank you for the question!

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