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Tooth Avulsion

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Partial or complete displacement of a tooth from its alveolar support. It is commonly the result of trauma. (From Boucher's Clinical Dental Terminology, 4th ed, p312)

Also Known As:

Avulsion, Tooth; Avulsions, Tooth; Dislocations, Tooth; Luxation, Tooth; Luxations, Tooth; Tooth Avulsions; Tooth Dislocation; Tooth Dislocations; Tooth Luxations; Tooth, Avulsed; Avulsed Tooth; Dislocation, Tooth; Tooth Luxation

Networked: 134 relevant articles (7 outcomes, 18 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1.	Wounds and Injuries (Trauma)
2.	Tooth Attrition (Attrition, Dental)
3.	Periodontal Diseases (Periodontal Disease)
4.	Hypercementosis
5.	Facial Injuries (Facial Injury)

Experts

1.	Poi, Wilson Roberto: 7 articles (09/2013 - 08/2007)
2.	Sonoda, Celso Koogi: 6 articles (09/2013 - 08/2007)
3.	Panzarini, Sônia Regina: 6 articles (09/2013 - 08/2007)
4.	Emerich, Katarzyna: 5 articles (07/2013 - 05/2010)
5.	Andersson, Lars: 5 articles (10/2008 - 04/2006)
6.	Al-Asfour, Adel: 4 articles (10/2008 - 04/2006)
7.	Filippi, Andreas: 2 articles (12/2012 - 02/2008)
8.	Wilczynska-Borawska, Magdalena: 2 articles (08/2012 - 04/2012)
9.	Baginska, Joanna: 2 articles (08/2012 - 04/2012)
10.	Manfrin, Thais Mara: 2 articles (02/2009 - 08/2007)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Tooth Avulsion:

1.	Calcium HydroxideIBA 10/01/2009 - "This was a randomized crossover study comparing 3 splinting techniques for managing a traumatically avulsed tooth (periodontal pack, wire, and bondable reinforcement ribbon) and 2 bandage techniques for managing a fractured tooth (calcium hydroxide paste and light-cured composite). " 08/01/2011 - "Calcium hydroxide formulations are also used during treatment of root perforations, root fractures and root resorption and have a role in dental traumatology, for example, following tooth avulsion and luxation injuries. "
2.	TeaIBA 07/01/2011 - "The use of green tea extract as a storage medium for the avulsed tooth." 01/01/2015 - "The results indicated that there was no difference in cell viability between the four media up to a period of 60 min, whereas green tea extract showed a lower cell viability after 90 min. Within the limitations of the present study, it appears that due to superior osmolality, cost effectiveness, and easier availability, Ringer's lactate, tender coconut water, and green tea extract can be used as alternate storage media for avulsed tooth."
3.	Propolis (Bee Bread)IBA 01/01/2013 - "The effect of propolis as a biological storage media on periodontal ligament cell survival in an avulsed tooth: an in vitro study." 09/01/2013 - "Although these storage media can now be purchased in the form of retail products, the most common scenario is that such a product will not be readily available at the moment of the accident This paper reviews the literature on the different storage media that have been investigated for avulsed teeth based on full-length papers retrieved from PubMed/Medline, Lilacs, BBO and SciELO electronic databases using the key words 'storage medium', 'transportation medium', 'avulsion', 'tooth avulsion', 'replantation', 'tooth replantation', 'milk' and 'propolis'. "
4.	FibrinIBA 07/01/2013 - "The combined use of cell sheet fragments of periodontal ligament stem cells and platelet-rich fibrin granules for avulsed tooth reimplantation." 07/01/2013 - "The aim of this study was to construct a cell transplant method consisting of cell sheet fragments of periodontal ligament stem cells (PDLSCs) and platelet-rich fibrin (PRF) granules to enhance periodontal healing in avulsed tooth reimplantation. " 06/01/2012 - "Finally, we particularly insist on the perspectives in this field, through the description and illustration of the systematic use of L-PRF (Leukocyte- and Platelet- Rich Fibrin) clots and membranes during tooth avulsion, cyst exeresis or the treatment of gingival recessions by root coverage. "
5.	Pituitary Adenylate Cyclase-Activating Polypeptide (PACAP)IBA 10/01/2013 - "However, no studies have investigated PACAP and PAC1 in the periodontal ligament (PDL), so we aimed to perform this investigation in rats after tooth luxation. " 10/01/2013 - "These results suggest that PACAP may have effects on osteoclasts and osteoblasts in the PDL after tooth luxation and thus regulate bone remodeling after these types of injury." 10/01/2013 - "Expression of pituitary adenylate cyclase-activating peptide (PACAP) and PAC1 in the periodontal ligament after tooth luxation."
6.	Bone SubstitutesIBA 06/01/2013 - "Within the limits of the present study, immediate non-functional loading of single tooth implant placed into avulsed tooth socket following augmentation with bioglass bone substitute and biocollagen membrane in the anterior maxilla is one of the viable treatment alternatives for rehabilitation of immediate loading implant. " 06/01/2013 - "To assess the clinical effectiveness of immediate non-functional loading of single-tooth implant placed into avulsed tooth socket following ridge augmentation in the anterior maxilla with bioglass bone substitute and biocollagen membrane. "
7.	Ringer's lactateIBA 01/01/2015 - "The results indicated that there was no difference in cell viability between the four media up to a period of 60 min, whereas green tea extract showed a lower cell viability after 90 min. Within the limitations of the present study, it appears that due to superior osmolality, cost effectiveness, and easier availability, Ringer's lactate, tender coconut water, and green tea extract can be used as alternate storage media for avulsed tooth."
8.	BioglassIBA 06/01/2013 - "Within the limits of the present study, immediate non-functional loading of single tooth implant placed into avulsed tooth socket following augmentation with bioglass bone substitute and biocollagen membrane in the anterior maxilla is one of the viable treatment alternatives for rehabilitation of immediate loading implant. " 06/01/2013 - "To assess the clinical effectiveness of immediate non-functional loading of single-tooth implant placed into avulsed tooth socket following ridge augmentation in the anterior maxilla with bioglass bone substitute and biocollagen membrane. "
9.	Citric Acid (Citrate)FDA LinkGeneric 11/01/2012 - "After storage in normal saline, the root surface of the avulsed tooth was conditioned with citric acid and treated with a triple antibiotic solution. " 11/01/1989 - "Then the result suggested that demineralization with citric acid on the denuded avulsed tooth prior to replantation may decrease the chance of replacement resorption and result in fibrous adhesion to the alveolar bone."
10.	Sodium Chloride (Saline Solution)FDA LinkGeneric 10/01/2014 - "34.5% would re-implant the avulsed tooth, 33.4% would maintain the avulsed tooth in handkerchief and 25.3% would maintain it in saline solution. " 04/01/2013 - "It can be recommended to keep the avulsed tooth in saline solution at least when more appropriate storage media are not on handle immediately. "

Therapies and Procedures

1.	Replantation 04/01/2014 - "Reimplantation of the avulsed tooth is considered as a best treatment modality due to its biological and psychological advantages. " 10/01/2010 - "Immediate self-replantation of an avulsed tooth is the best treatment choice, even without any other proceeding treatment. " 09/01/2010 - "In an emergency situation such as tooth avulsion, reimplantation within 30 min is the best treatment option at the site of the accident. " 05/01/2010 - "Immediate replantation of an avulsed tooth is the best treatment option at the site of the accident. " 02/01/2008 - "The knowledge level on the importance of extra-alveolar time before replantation increased from 1% to 74% and knowledge of a suitable storage medium for the avulsed tooth improved from 4% to 86%. "
2.	Tooth Replantation 09/01/2008 - "Late tooth replantation is a worthy procedure, especially in growing patients, being the best option for tooth avulsion. " 10/01/2011 - "It was evident from this study that there were delayed tooth replantations in many tooth avulsion cases. " 12/01/2010 - "Immediate tooth replantation is the choice of treatment in tooth avulsion. " 02/01/2009 - "Minimal extraoral dry storage period and moist storage for the avulsed tooth are identified as key steps for the treatment protocol of tooth replantation. " 06/01/2008 - "The chances of root surface damage are higher when tooth replantation is not performed immediately or if the avulsed tooth is not stored in an adequate medium. "
3.	Bandages (Bandage) 10/01/2009 - "This was a randomized crossover study comparing 3 splinting techniques for managing a traumatically avulsed tooth (periodontal pack, wire, and bondable reinforcement ribbon) and 2 bandage techniques for managing a fractured tooth (calcium hydroxide paste and light-cured composite). "
4.	First Aid (Aids, First) 08/01/2012 - "The purpose of this study was to evaluate the knowledge of first aid in tooth avulsion among nurses working at schools in Bialystok, Poland. " 06/01/2009 - "This study was conducted to assess the first-aid knowledge about tooth avulsion among dentists, doctors, students, school teachers and the general public in Lahore, Pakistan. " 05/01/2012 - "Knowledge of medical hospital emergency physicians about the first-aid management of traumatic tooth avulsion." 04/01/2012 - "This article attempts to give short algorithms of first-aid management of avulsed tooth." 06/01/2009 - "First-aid knowledge about tooth avulsion among dentists, doctors and lay people."
5.	Emergency Treatment 06/01/2009 - "This study showed an overall lack of knowledge of sportsmen and sportswomen with regards to tooth avulsion, thus reinforcing the need for educational campaigns to improve the immediate emergency treatment of tooth avulsion." 04/01/2013 - "The amount of damage to tooth and supporting structures, emergency treatment and follow-up period play a role in the prognosis of the avulsed tooth. " 04/01/2009 - "To get evidence-based clinical papers we did internet search on PubMed, Cochrane, Center of Evidence-Based Dentistry and Knowledge Finder using the clinical question "Emergency Treatment for Avulsed Tooth". " 01/01/2007 - "The majority of teachers possessed inadequate knowledge of emergency treatment of tooth avulsion. " 12/01/1997 - "Successful healing following tooth avulsion depends on the amount of damage to teeth and supporting structures, emergency treatment, and follow-up treatment. "