In most cases, it is the upper front teeth that become a victim of accidents and thereby, they have more chances of being knocked out completely. Knocked out baby teeth aren’t typically implanted back in the patient’s mouth because these teeth will be eventually replaced by other permanent teeth. On the contrary, knocked out permanent teeth need to be immediately retrieved, moistened, and positioned back into the sockets. An essential variable that affects reimplantation success is the duration of the period while the tooth isn’t present in the socket. Teeth that are reimplanted within sixty minutes following the accident have more chances of getting reattached to the teeth sockets.
Typically, knocked out teeth are rinsed in milk or clean water before they are positioned back into the patient’s socket. This step can be carried out by either the affected individual or a professional dentist who can be immediately approached. It is important to make sure that extra care is taken while handling the tooth by the crown instead of the root. If there are any doubts regarding the reimplantation process, the teeth need to be stored in water or milk until a professional dentist is consulted to fix the problem. In some cases, especially when the affected individual can stay calm, the affected tooth should be held inside the mouth while taking the patient to the dentist.
Once the tooth has been re-implanted into the original socket, this tooth can then be splinted to the neighboring teeth for a period of 2-10 weeks. This is an important step to ensure stabilization as the bone undergoes healing. As this splinting is performed, the affected individual is advised to consume soft foods, keep from biting on teeth that have been splinted, and brush the teeth diligently for making sure that the mouth is kept clean.
For adult patients, the reimplanted teeth need a root canal treatment within 7-10 days. However, in the case of children with reimplanted permanent teeth, where the roots of teeth haven’t completely developed, root canal treatment may not be needed. The teeth are kept under observation for a period of five years or more to check for signs of dying pulp, like painful sensations, tooth discoloration, or dental abscess.
In a majority of cases, for patients undergoing tooth reimplantation, over-the-counter medications are highly effective in offering pain relief. Similarly, prescribed mouth rinses are also useful in preventing gum inflammation because the splinted teeth can’t be brushed properly and the splint typically accumulates extra dental plaque along with food debris. Oral antibiotics as well as tetanus injections are also prescribed to patients who may develop major soft tissue cuts.
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