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[Primary treatment of traumatically dislocated teeth].

L Blom¹, N H Mortensen

¹Ortopaedkirurgisk afdeling, Holstebro Centralsygehus.

Ugeskrift for Laeger

|July 16, 1990

Summary

Immediate replantation of avulsed teeth is crucial for successful outcomes. Proper storage in milk or the buccal cavity, alongside antibiotics and tetanus prophylaxis, aids periodontal tissue survival and tooth reimplantation.

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Area of Science:

Dentistry
Oral Surgery
Trauma Care

Background:

Traumatic dental avulsion requires prompt management to preserve tooth viability.
Periodontal tissue survival is critical for successful tooth replantation.
Optimal storage media and timing significantly impact prognosis.

Observation:

A case of successful replantation of a traumatically exarticulated tooth is detailed.
Immediate replantation is the preferred course of action.
If immediate replantation is not feasible, tooth storage is necessary.

Findings:

Milk is a suitable storage medium for avulsed teeth for up to six hours.
Teeth stored in the buccal cavity should be replanted within one to two hours.
Antibiotic treatment and tetanus prophylaxis are recommended post-replantation.
Endodontic treatment should be initiated 10-14 days after replantation.

Implications:

This case highlights the importance of timely intervention in dental avulsion.
Proper post-avulsion management protocols can improve tooth survival rates.
Adherence to recommended treatment timelines is essential for optimal patient outcomes.

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