Emergency Management of a Traumatic Tooth Avulsion

Simple techniques for managing dental avulsion in the GP setting

“…A popular splinting technique involves the application of tissue glue around the tooth. 3 Even simpler methods include adapting Blu-Tack or aluminium foil to the dental arch. Readers interested in learning more about these techniques are directed to a succinct and well-illustrated article by Beech et al 4 Contraindications to replantation are few, but include: replantation of baby teeth (for example, patients under the age of 6 years) and patients who are immunocompromised or at risk of infective endocarditis (due to the risk of bacteraemia).…”

Common Dental Injury Management in Athletes

“…The storage of any remnant of tooth is also extremely beneficial to the success of functional and esthetic replacement. 3 , 13 , 34 …”

“…If the intact tooth has debris, then the tooth should be held by its crown, rinsed with water or normal saline, properly oriented by observing the adjacent teeth, and replanted in the socket. 3 , 5 , 13 , 34 …”

“…Case 1: Avulsed Teeth A 22-year-old professional hockey player presented after being hit with a hockey stick during a professional game, sustaining 2 avulsed bicuspid teeth in the right maxilla. After a thorough examination, 33,34 including radiographs, it was determined that the teeth may be replantable.…”

“…3,13,34 • If the intact tooth has debris, then the tooth should be held by its crown, rinsed with water or normal saline, properly oriented by observing the adjacent teeth, and replanted in the socket. 3,5,13,34 • Once replanted, the tooth may be splinted using a variety of possible materials. If needed, simple tissue adhesive (cyanoacrylate derivatives) has been shown to be useful in holding a splint in place until definitive treatment.…”