Podcast 810: Tooth Replantation

<p><strong>Contributor: Jarod Scott, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">There is a 1-hour window for tooth replantation in ED</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Cold milk is often best transport media unless there is access to specialized solutions (Hank’s Balanced Solution)</span></li> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Goal is to preserve periodontal ligament</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Soaking in tap water should be avoided as it will lyse cells of periodontal ligament</span><span style= "font-weight: 400;">    </span></li> </ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">If oral surgeon is rapidly available, have them perform replantation</span></li> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Do not delay replantation to wait for an oral surgeon to become available</span></li> </ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Steps in tooth reimplantation</span></li> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Disturb the socket as little as possible</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Handle tooth only by crown, don’t touch root</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Rinse tooth gently with tap water or saline, do not scrub it</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Tooth should click back in place and remain stable</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Don’t manipulate after reimplantation</span><span style= "font-weight: 400;">  </span></li> </ul> <li style="font-weight: 400;" aria-level="1