Reimplantation of an avulsed tooth after five hours of storage in milk: One-year follow-up case report

Abstract

Dental avulsion is the complete displacement of a tooth from the alveolar socket due to trauma. Reimplantation is the procedure by which an avulsed tooth is replaced. The prognosis of reimplantation depends on several factors, the most important of which are the length of time that elapses between the trauma and reimplantation and how the tooth is stored. The most preferable management procedure for an avulsion is immediate reimplantation within 20-30 min after injury or preservation in an appropriate storage medium until the procedure. If the tooth cannot be immediately replanted, it should be stored in Hank’s Balanced Salt Solution, milk, saliva, or saline solution. Milk is readily available and can protect periodontal ligament cells. In this case report, a 30-year-old male patient suffered a sports injury that resulted in avulsion of the right maxillary incisor. The avulsed tooth was stored in milk for 5 h from avulsion until reimplantation. This case report details reimplantation of an avulsed tooth.