As a result of a mechanical injury, a tooth may be completely dislocated, i.e. knocked out of the oral cavity. The dental procedure consisting in its reintroduction into its original location, i.e. a dental socket is called tooth reimplantation.
The procedure is relatively straightforward, however, its success depends largely on the condition of the tooth after the injury and its storage during transport.
Due to the presence of living cells on the surface of the root of the knocked out tooth it has to be properly stored until it is reimplanted in the dental surgery. Under the existing circumstances it is best to rinse such tooth under running water from potential contaminants on its surface and put it into fresh milk, the owner’s saliva or, if there is no other way, into plain water.Transporting the tooth dry may lead to the death of cells on the surface of the root and increase the risk of reimplantation complications, i.e. root resorption. The shorter the time between the injury and the reimplantation the bigger the chances of successful reinsertion of the tooth into the oral cavity.
IT IS ESTIMATED THAT A TOOTH THAT WAS OUTSIDE THE ORAL CAVITY ENVIRONMENT FOR LESS THAN 20-30 MINUTES IN OPTIMAL CONDITIONS STANDS A HIGH CHANCE OF LONG LASTING PRESERVATION IN THE SOCKET AND ITS FULL PHYSIOLOGICAL FUNCTION.
In the dental surgery, the dentist prepares the delivered tooth properly, reinserts it into the socket and immobilizes it with a dental guard. The immobilization period takes about a week. After the tooth reimplantation procedure it is recommended to eat pulpy food for 2-3 weeks, maintain good oral hygiene and use astringent, anti-inflammatory and antiseptic mouthwashes, such as camomile or chlorhexidine. Weekly dental check-ups are very important as well.