27. Avulsion

Question 1

Extraoral dry time

Answer 1

Andreasen

Oswald (socket status not IPT)

Question 2

Storage medium

Answer 2

Blomlof (milk)

Andreasen (saliva)

Krasner (HBSS)

Viaspan (Trope)

Sigalas (gatorade/lens)

Khademi (egg albumin),

Macway-Gomez (pedialyte)

Question 3

Splinting

Answer 3

Andreasen (phy + short term)

Antrim (fish)

Question 4

Hard diet less ankylosis

Answer 4

Andersson

Question 5

Replant open apex < 60min

Answer 5

5min Doxy, coat micocycline splint 2wk, Revasc

Question 6

Replant open apex > 60min

Answer 6

• remove PDL + 20min 5%NaF, extraoral RCT/monitor, splint 4wks, monitor ANKYLOSIS

Question 7

Replant closed apex < 60min

Answer 7

NSRCT+CaOH 1mo, splint 2wks

Question 8

Replant closed apex > 60min

Answer 8

• remove PDL + 20min 5%NaF, 7-10d s/p –> NSRCT+CaOH (or extraoral)

Question 9

Replant - other consideration

Answer 9

Abx, Tetanus booster, soft diet, CHX

Question 10

Wait 2 weeks before start NSRCT to allow PDL heal

Answer 10

Andreasen (CaOH affect PDL)

Question 11

Long-term CaOH better

Answer 11

Trope (X = Dumsha rec’ 2-4wks)

Question 12

Dentin weakening > 1 mo CaOH

Answer 12

Andreasen

Question 13

Topical Doxy reduce resorp

Answer 13

Cvek

Question 14

Minocycline microsphere promotes revasc

Answer 14

Trope

Question 15

5min 2% NaF rinse reduces ankylosis

Answer 15

Coccia

Question 16

SnF2 anti-resorp

Answer 16

Selvig

Question 17

Emdogain prevents resorp

Answer 17

Iqbal (X = Sae Lim)

Question 18

Sys Abx prevents resorp

Answer 18

Sae-Lim TCN (X = Hammarstrom)

Question 19

Sys Abx after replant

Answer 19

Doxy 500mg 4x/d unless pregnant/under age 12 (PenVK)

Question 20

Decoronation

Answer 20

Malmgren (1-2mm subcrestal)

Question 21

Tetanus

Answer 21

Rothstein