Avulsion Revision Questions

Question 1

What is avulsion

Answer 1

Complete removal of the tooth from the socket

Seperation of PDL and exposure of root surface

Question 2

What advise do you give to someone about reimplant of avulsed primary teeth?

Answer 2

Inform patient about possible complications of the permanent successor
Follow up - 6-8weeks, further at 6 years to monitor eruption of permanent tooth

Question 3

What is the public adivce for avulsion

Answer 3

Hold by the crown only
Wash in cold running water and let the water flow and place plug in to prevent losing it
Replace in socket and get person to bite on it with a tissue or store in saliva/ cold fresh milk
Seek immediate dental advice

Question 4

Critical factors for an avulsed tooth

Answer 4

Extra avlveolar time dry time - time tooth is out the mouth

Extra alveolar time - amount of time it has been out the mouth, including any storage medium

Question 5

What are the type of storage mediums

Answer 5

Saliva
Cold milk
Saline
Blood

Question 6

When not to reimplant an avulsed tooth

Answer 6

Child is immunocompromised
Child has other serious conditions and warrant other emergecncy treatment
Very immautre lower incisor and child can’t cope
Very immature apex and EAT >90mins

Question 7

What is post op advice for avulsion

Answer 7

Avoid contact sports
Soft diet for 2 weeks
Brush teeth after every meal with a soft tooth brush
Use CHX 0.1% twice a day for 7 days