Abstract Update - Roger J. Spott DDS- Endodontics

New Philosophy for the Treatment of Avulsed Teeth

OS.OM.OP. Vol. 79, pg.616, May 1995
P. Krasner, H. Rankow, Temple Univ, Phila.PA
This article reviews the pertinent research and recommends a new treatment philosophy as follows:

Treatment of Avulsed Teeth

Category Apex Extraoral Time Stored Treatment
1 Mature less 15 min fresh Physiologic rinse, replant
2 Mature 15min-24hrs phys. replant
3 Mature 15min-6hrs wet physiologic 30min, replant
4 Mature less 2 hrs dry physiologic 30min, replant
5 Mature over 2 hrs dry Clean, Citric Acid 3min, SnF 5min, Doxycycline 5min, Endo, replant
6 Open less 15 min fresh Doxycycline 5min, replant
7 Open l5min-24hrs phys. Doxycycline 5min, replant
8 Open l5min-6hrs wet physiologic 30min, Doxycycline 5min, replant
9 Open less 2 hrs dry physiologic 30min, Doxycycline 5min, replant
10 Open over 2 hrs dry Clean, Citric Acid 3min, SnF 5min, Doxycycline 5min, Endo, replant
  • Physiologic = pH balanced, Hank's solution or 0.9% normal saline or milk
  • Doxycycline = 1mg/20ml
  • SnF= Stannous Fluoride 1%
  • Citric Acid = Saturated Solution