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Can my son's knocked-out tooth be saved?

by Kimberley Loos

question
My 13-year-old son dived for a cricket ball and knocked his upper front tooth out. The coaches quickly put the tooth on ice and covered it with a damp towel. Within five minutes, I put the tooth back into the socket. We were at our dentist's office within ten minutes after the tooth came out. What are the odds that the tooth will be saved? Please tell others the importance of replacing the tooth in the socket as quickly as possible.

answer
When a permanent tooth is lost or knocked out, it is important that it is replanted as quickly as possible. This gives the tooth the best chance for survival. There are several reasons why individuals may not replace the tooth in the socket. Simple fear may be one reason! If multiple teeth are lost, one might be confused about which tooth belongs in which socket. The accident victim may be hysterical or uncooperative, or even unconscious. In these cases, it is not prudent to replant the tooth because the victim could choke on it.

If it is not possible to replant the tooth at the scene of the accident, proper handling of the tooth is important. If a dentist replants the tooth within 30 minutes, the tooth has the best chance of survival. The root of the tooth should not be touched. The tooth should not be wrapped in tissues, handkerchiefs or gauze. If the tooth is transported in a plastic or glass container, it should have a tight lid so the tooth and storage liquid are not spilled.

Under no circumstances should the tooth be kept dry or stored in water. Milk is one of the best storage mediums. It's a good idea for sports teachers to be aware of these facts in the event that a tooth is knocked out during competition, or sports accidents.

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