Avulsion injuries, though relatively uncommon, are one of the most serious of dentoalveolar injuries. Replantation at the scene of the incident is almost always the treatment of choice whenever possible. This paper outlines a step-by-step approach for the management of avulsion injuries, including a splinting protocol. This aims to support general dental practitioners in feeling more confident with managing these injuries.
GlendorUHallingAAnderssonL, et al. Incidence of traumatic tooth injuries in children and adolescents in the county of Västmanland, Sweden. Swed Dent J. 1996;20(1-2):15-28.
2.
AndreasenJOAndreasenFMTsilingaridisG. Avulsions. In: AndreasenJOAndreasenFMAnderssonL. (Eds.) Textbook and color atlas of traumatic injuries to the teeth. 5th ed.Oxford: Wiley Blackwell; 2018. p.486–520.
3.
DjemalSAryafarMPetrieA, et al. Traumatic dental injuries in adults attending a London-based trauma clinic in the UK: a seven-year survey. Br Dent J. 2022;233(12):1022-1028.
4.
TropeM. Avulsion of permanent teeth: theory to practice. Dent Traumatol. 2011;27(4):281-294.
5.
Sae-LimVWangCYChoiGW, et al. The effect of systemic tetracycline on resorption of dried replanted dogs’ teeth. Endod Dent Traumatol. 1998;14(3):127-132.
6.
AndreasenJO. Effect of extra-alveolar period and storage media upon periodontal and pulpal healing after replantation of mature permanent incisors in monkeys. Int J Oral Surg. 1981;10(1):43-53.
7.
BarbizamJVBMassarwaRda SilvaLAB, et al. Histopathological evaluation of the effects of variable extraoral dry times and enamel matrix proteins (enamel matrix derivatives) application on replanted dogs’ teeth. Dent Traumatol. 2015;31(1):29-34.
8.
PatelKBDjemalS. Splinting traumatized teeth that are restored with porcelain restorations. Dent Update. 2022;49(2):177-181.
9.
MalmgrenBMalmgrenO. Rate of infraposition of reimplanted ankylosed incisors related to age and growth in children and adolescents. Dent Traumatol. 2002;18(1):28-36.
10.
KahlerBRossi-FedeleGChugalN, et al. An evidence-based review of the efficacy of treatment approaches for immature permanent teeth with pulp necrosis. J Endod. 2017;43(7):1052-1057.
11.
AndreasenJOStorgård JensenSSae-LimV. The role of antibiotics in presenting healing complications after traumatic dental injuries: a literature review. Endod Topics. 2008;14(1):80-92.
12.
FouadAFAbbottPVTsilingaridisG, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36(4):331-342.
13.
AndreasenJOFarikBMunksgaardEC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol. 2002;18(3):134-137.
14.
RosenbergBMurrayPENamerowK. The effect of calcium hydroxide root filling on dentin fracture strength. Dent Traumatol. 2007;23(1):26-29.
15.
HammarströmLBlomlöfLFeiglinB, et al. Replantation of teeth and antibiotic treatment. Endod Dent Traumatol. 1986;2(2):51-57.