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International Journal of Applied Dental Sciences 2022; 8(4): 42-45
ISSN Print: 2394-7489
ISSN Online: 2394-7497
IJADS 2022; 8(4): 42-45
© 2022 IJADS
www.oraljournal.com
Received: 17-08-2022
Accepted: 21-09-2022
Daniela Hernandez Martinez
Master’s in Sciences Student,
Universidad Autonoma de Nuevo
Leon, Facultad de Odontologia,
Monterrey, Nuevo Leon, 64460 ZIP,
Mexico
Jorge Jaime Flores Treviño
Professor, Universidad Autonoma de
Nuevo Leon, Facultad de
Odontologia, Monterrey, Nuevo Leon,
64460 ZIP, Mexico
Myriam Angelica De La Garza Ramos
Professor, Universidad Autonoma de
Nuevo Leon, Facultad de
Odontologia, Monterrey, Nuevo Leon,
64460 ZIP, Mexico
Hilda Lourdes Muñuzuri Arana
Professor, Universidad Autónoma de
Guerrero, Facultad de Odontología.
Acapulco de Juárez de Guerrero,
México
Julio Cesar Adams Ocampo
Professor, Universidad Autónoma de
Guerrero, Facultad de Odontología.
Acapulco de Juárez de Guerrero,
México
Maria Eugenia Vazquez Sanchez
Profesor, Universidad de
Guadalajara, Departamento de
Ciencias Clínicas Odontológicas
Integrales, Guadalajara, Jalisco,
44680 ZIP, Mexico
Araceli Cortes Camacho
Profesor, Universidad de
Guadalajara, Departamento de
Ciencias Clínicas Odontológicas
Integrales, Guadalajara, Jalisco,
44680 ZIP, Mexico
Juan Manuel Solis Soto
Professor, Universidad Autonoma de
Nuevo Leon, Facultad de
Odontologia, Monterrey, Nuevo Leon,
64460 ZIP, Mexico
Corresponding Author:
Daniela Hernandez Martinez
Master’s in Sciences Student,
Universidad Autonoma de Nuevo
Leon, Facultad de Odontologia,
Monterrey, Nuevo Leon, 64460 ZIP,
Mexico
An update on management of avulsed teeth
Daniela Hernandez Martinez, Jorge Jaime Flores Treviño, Myriam
Angelica De La Garza Ramos, Hilda Lourdes Muñuzuri Arana, Julio
Cesar Adams Ocampo, Maria Eugenia Vazquez Sanchez, Araceli Cortes
Camacho and Juan Manuel Solis Soto
DOI: https://doi.org/10.22271/oral.2022.v8.i4a.1625
Abstract
Introduction: Avulsion of permanent teeth is one of the most serious dental injuries, prompt and correct
emergency management is essential to achieve the best outcome after this injury.
Objective: To analyze the literature on avulsed teeth, particularly its prevalence, storage media,
consequences and treatment.
Methodology: In order to carry out this literature review, an electronic search was necessary using
PubMed and Google Scholar with the words avulsed tooth, and prevalence, storage media, treatment.
Results: The prevalence of traumatic dental injuries is greater in male patients of school age. The most
common treatment is reimplantation. The main adverse events are dental ankylosis and resorption. When
immediate reimplantation is not possible, the most practical means of preservation is cow's milk,
currently anti-reabsorption therapy is used to improve the prognosis in addition to the use of a semi-
flexible stabilizer.
Conclusion: The treatment of choice for dental avulsion will always be reimplantation, whether
immediate or delayed, regardless of how long the tooth is kept out of the mouth. Although there is no
predictable prognosis, it does not mean that reimplantation should not be attempted, since the tooth will
be of great importance in contributing to the mandibular and facial development of the child.
Keywords: avulsed tooth", "treatment", "prevalence", "storage media
1. Introduction
Avulsion of permanent teeth is one of the most serious dental injuries, and prompt and correct
emergency management is essential to achieve the best outcome after the injury
[1]
.
Tooth trauma includes fractures, luxations and avulsions, which can be reduced in most cases.
Avulsed primary teeth should never be replaced
[2]
. Traumatized patients require immediate
and correct treatment to restore damaged structures and functions that have a major impact on
the patient's daily life
[3]
.
Tooth avulsion is defined as the complete displacement of the tooth out of its socket with
breakage of the periodontal ligament fibers, with some of them remaining attached to the
cementum and the rest to the alveolar bone
[4]
. Avulsion of permanent teeth is one of the most
serious oral health problems among active children and adolescents
[3]
.
Dental trauma and injuries in the primary dentition are difficult to treat, as the goals of
treatment include restoring esthetics and function. The aim of this article is to analyze the
literature on dental avulsion, as well as its prevalence, storage media, consequences and
treatment.
2. Materials and Methods
Articles on the subject published through the PubMed, SCOPUS and Google Scholar
databases were analyzed, with emphasis on the last 5 years. The quality of the articles was
evaluated using PRISMA guidelines, i.e., identification, review, choice and inclusion. The
quality of the reviews was assessed using the measurement tool for evaluating systematic
reviews (AMSTAR-2)
[5]
. The search was performed using Boolean logical operators AND,
OR and NOT.