Avulsion Types

Dental avulsion is the most severe type of traumatic tooth injuries because it causes damage to several structures and results in the complete displacement of the tooth from its socket in the alveolar bone. The ideal situation is to replant the tooth immediately after avulsion because the extraoral time is An important factor for treatment success and for a good prognosis. Maintaining the tooth in an adequate wet medium that can preserve, as longer as possible, the vitality of the periodontal ligament cells that remain on root surface is the key to success of replantation. There are various type of storage medium to preserve an avulsed tooth…

  • Wet storage media like Hank's Balanced Salt Solution (HBSS).

  • Few developed specifically for organ storage purposes, such as Viaspan and Euro-Collins .

  • Culture media, like saline can be used.

  • Natural products like water, saliva, bovine milk.

  • Variations like propolis, green tea, Morus rubra (red mulberry), egg white and coconut water.

  • Rehydrating solutions, like Gatorade and Ricetral, and even contact lens solutions.

  • Specifically for storage and regular pasteurized whole milk is most frequently recommended.

  • Solutions that are likely to be available at the site of accident, such as water, saline or saliva can also be used.

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