Replantation

Question 0

Whats th long term effect of replanted immature teeth?

Answer 0

Root canal obliteration.

Pulp canal calcification

Question 1

What are the implications of dens evaginatus?

Answer 1

Higher chance that can fracture off. Bcterial invasion and piapical lesion can develop.

Question 2

What to do with avulsed teeth?

Answer 2

Replantation wihtin 30 mins gives a 90% success rates

Question 3

What are suitable storage mediums for teeth?

Answer 3

Milk
Hanks balanced salt solution
EaGles medium - viaspan
Saline solution - contact lens solution
Oral hydration solution
Saliva - lots of microbiobes
Glad wrap
Zahnbox

Question 4

How to manage tooth replantation?

Answer 4

Clean the root surface, olace in saline or milk
If open apex, doxycycline in the hospital or minocycline powder
Good history
examination and diagnosis
Photographic record

Question 5

What to include in the history?

Answer 5

Where, how, when, loss of conscusness, sensory…

Question 6

Hw to clean the root surface?

Answer 6

Use saline and gauze square if necessary

Irrigate socket with saline

Question 7

Hw should the tooth be replanted?

Answer 7

Repositiioning of hard and soft tissues
(make sure it fits right)
- splint
- antibtics
- tetanus status

Question 8

What splint to use for avulsed teeth?

Answer 8

Fibre splint
- optibond, NO RESIN! Fibre splint strait on and cure
Suture splint if nothing else
Orthodontic brackets
Titanium trauma splint (flexible but expensive)

Question 9

How is ledermix delivered through the tooth?

Answer 9

Can diffuse through dentinal tubules through to the outside and has anticlastic effects.

Question 10

Besides lefermix, what else can be used to prevent root resorption?

Answer 10

Calcitonin
Odontopaste (triamcinolone and clindamycin), however, no studies to prove effectiveness
Calxyl (CaOH) - not during the first two weeks, might end up with ankylosis and necrosis of cells