Avulsion of Permanent Teeth

Avulsed permanent teeth are a true dental emergency!

Treatment by Clinician

  • If the tooth cannot be reimplanted at the scene, it should be transported in a balanced salt solution (such as Hank's solution), milk, buccal sulcus, or saline to the clinician for reimplantation.
  • Antibiotic prophylaxis with penicillin or doxycycline for seven days is recommended.
  • Determine tetanus status. Consider prophylaxis if not updated in past five years.
  • Immediate referral to a dentist for splinting and follow-up.
Joanna Douglass, BDS, DDS
Joanna Douglass, BDS, DDS

Dental CareĀ & Expected Outcome

  • Radiographs to evaluate for other injuries
  • Flexible splinting forĀ one week
  • Chlorhexidine mouthwash and good oral hygiene
  • Root canal treatment for all mature permanent teeth. Monitoring of vitality for immature teeth.
  • High risk for complications including:
    • Tooth death
    • Tooth resorption
    • Ankylosis