Tooth avulsion is a complete ejection of the tooth from the jaw and refers to the group of emergencies requiring immediate treatment. The condition is characterized by severe pain, varying degrees of bleeding, and may be accompanied by alveolar bone fracture and / or gingival injury.
The faster the expulsed tooth is returned into the jaw, the greater its chance of recovery. Most favorable for this are the first two hours after the injury. With each passing hour, the chances decrease significantly.
Immediately after the avulsion, patients should be instructed to rinse the tooth with saline and place it in serum, fresh milk, artificial tears, egg albumin, or saliva. This is followed by rinsing the mouth with water and placing a compress on the alveoli. The patient should then see a specialist immediately.
During reimplantation, the tooth must be fixed to the surrounding healthy teeth by splinting. If re-implantation is not possible, the most common solution is subsequent implant placement.
In the case of an expelled infant temporary tooth, a guard must be fitted until the corresponding permanent tooth appears. If a permanent tooth is expelled, the area is surgically treated, a guard is inserted, and implantation is made after the child has grown up.
In most cases, tooth injuries are not isolated, but are part of the damage to the entire maxillofacial region and / or the head. In these cases, the patient should be urgently referred for consultation, diagnosis and treatment to a team of maxillofacial surgeons and neurosurgeons because of the risk of rapidly developing life-threatening complications.