Perspective Chapter: Teeth Avulsion

Abstract

Tooth avulsion refers to total displacement of the tooth out of its alveolar socket. This chapter discusses the causes of avulsion for both primary and permanent dentition in addition to the prevalence of avulsion comparing it between before and during COVID-19 era. Successful outcomes depend on procedure conduction with immediate replantation of the avulsed tooth and good handling of the tooth keeping the tooth in suitable available storage media till a professional service is obtainable. Management of this type of dental trauma necessitates awareness and collaboration between the lay personal at the site of injury in addition to the important role of different dental professional. After replantation of the avulsed tooth, it should be kept immobile with preservation of the functional (physiological) mobility by application of suitable splint. There are adjunctive therapies including antibiotics, analgesics, mouth washes, and tetanus vaccines. Endodontic therapy should be initiated within 7–10 days from the time of avulsion, where the outcomes generally might be favorable or unfavorable. Newly emergent teledentistry played important role in the treatment of tooth avulsion, especially during COVID-19 period.