Click here to go back to treatment choice. Closed apex Tooth replanted prior to the patient’s arrival at the dental office or clinic Treatment Leave the tooth in place. Clean the area with water spray, saline or chlorhexidine. Administer local anethesia if necessary, preferably with no vasoconstrictor. If the tooth were replanted in the wrong
Click here to go back to treatment choice. Open apex Dry time longer than 60 minutes or other reasons suggesting non-viable cells Treatment Delayed replantation has a poor long-term prognosis. The periodontal ligament will be necrotic and cannot be expected to heal. The goal in delayed replantation is to restore the tooth to the dentition for
Click here to go back to treatment choice. Treatment Clean the root surface and apical foramen with a stream of saline. Place or leave the tooth in a storage medium while taking the history, examining the patient clinically and radiographically and preparing the patient for the replantation. Administer local anesthesia, prefereably without vasoconstrictor. Examine the
Video treatment guidelines are currently being updated. Please see the text below for latest guidelines (2020). Click here to go back to treatment choice. Open apex Tooth replanted prior to the patient’s arrival at the dental office or clinic Treatment Leave the tooth in place. Apply local anesthesia, if necessary, preferably with no vasoconstrictor. Clean
Video treatment guidelines are currently being updated. Please see the text below for latest guidelines (2020). Click here to go back to treatment choice. Open apex Tooth replanted prior to the patient’s arrival at the dental office or clinic Treatment Leave the tooth in place. Clean the area with water spray, saline or chlorhexidine. Suture
Click here to go back to treatment choice. Open apex Tooth replanted prior to the patient’s arrival at the dental office or clinic Treatment Leave the tooth in place. Apply local anesthesia, if necessary, preferably with no vasoconstrictor. Clean the area with water spray, saline or chlorhexidine. Suture gingival laceration, if present. Verify normal position
For guidelines on which film to follow, see treatment information below. Click here to go back to treatment choice. Tooth replanted prior Extraoral time <60 min. Extraoral time >60 min. Closed apex Tooth replanted prior to the patient’s arrival at the dental office or clinic Treatment Leave the tooth in place. Clean the area with
For guidelines on which film to follow, see treatment information below. Click here to go back to treatment choice. Tooth replanted prior Extraoral time <60 min. Extraoral time >60 min. Open apex Tooth replanted prior to the patient’s arrival at the dental office or clinic Treatment Leave the tooth in place. Apply local anesthesia, if
Traumatic dental injuries Luxation injuries Concussion Subluxation Extrusion Lateral luxation Intrusion Avulsion Fracture injuries Enamel infraction Enamel fracture Uncomplicated crown fracture (enamel-dentin fracture) Complicated crown fracture (enamel-dentin-pulp fracture) Uncomplicated crown root fracture Complicated crown root fracture Root fracture Alveolar fracture Injuries to gingiva or oral mucosa Laceration of gingiva or oral mucosa Contusion of gingiva
