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Failure to re-plant the avulsed tooth within the first 40 minutes after the injury may result in a less favorable prognosis for the tooth. [15] If the tooth cannot be immediately replaced in its socket, follow the directions for any knocked-out (avulsed) teeth kit, or place it in cold milk or saliva and take it to an emergency room or a dentist.
Dental intrusion is an apical displacement of the tooth into the alveolar bone.This injury is accompanied by extensive damage to periodontal ligament, cementum, disruption of the neurovascular supply to the pulp, and communication or fracture of the alveolar socket.
If a tooth is avulsed, make sure it is a permanent tooth (primary teeth should not be replanted, and instead the injury site should be cleaned to allow the adult tooth to begin to erupt). Reassure the patient and keep them calm. If the tooth can be found, pick it up by the crown (the white part). Avoid touching the root part.
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If apex of tooth is displaced towards the palate and making contact with the tooth germ then tooth is extracted Intrusive Luxation: Displacement of tooth into the alveolar bone (pushed into the socket) causing fracture of the alveolar bone. It is the most damaging injury to the tooth and supporting tissues as ankylosis and pulp necrosis can occur.
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Tooth ankylosis refers to a fusion between a tooth and underlying bony support tissues. In some species, this is a normal process that occurs during the formation or maintenance of the dentition. [1] By contrast, in humans tooth ankylosis is pathological, whereby a fusion between alveolar bone and the cementum of a tooth occurs.