Avulsed teeth: Storage media used before replantation

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This review of the effectiveness of any technique available to laypeople for storing an avulsed tooth compared with storage in milk or saliva included 33 studies. Findings suggest that milk, Hank’s balanced salt solution, propolis, oral rehydration salts, rice water, and cling film extend periodontal ligament cell viability before replantation.

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Avulsed teeth – what is the best management option?

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4 RCTs were included in ths Cochrane review update of interventions for avulsed and replanted permanent front teeth. None of the included studies was at low risk of bias and there is insufficient evidence to support or refute the effectiveness of different interventions.

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Root resorption: high incidence after replantation of avulsed teeth

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This review evaluating the incidence of root resorption (RR) after the replantation of avulsed teeth included 23 studies of low quality providing a estimate of RR that should be viewed cautiously.

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Pulps should be removed from replanted avulsed teeth within 14 days

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This 2009 review by Hinckfuss & Messer regarding the timing of pulp extirpation following the replantation of avulsed teeth has just been critically appraised under the auspicies of the American Dental Associations Centre for Evidence-based Dentistry. The commentator highlights some methodological issues with the conduct of the review and the heterogeneity of the available evidence [read the full story…]