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Tooth Avulsion

Date Last Search Run: Jan 14, 2025
Table last updated: May 02, 2021
Data last added: Mar 06, 2018

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)        
2 (fair evidence exists)  
3 (weak evidence exists)      


Interventions

Hank's Solution
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Tissue viability Process SIM Caglar E., Sandalli N., Kuscu OO., et al. Viability of fibroblasts in a novel probiotic storage media. Dent Traumatol 2010; 26(5):383-7. Medline
II Supportive (Green) Tooth viability Process SIM Khademi AA., Saei S., Mohajeri MR., et al. A new storage medium for an avulsed tooth. J Contemp Dent Pract 2008; 9(6):25-32. Medline
II Supportive (Green) Tooth viability Patient Krasner P., Person P. Preserving avulsed teeth for replantation. J Am Dent Assoc 1992; 123(11):80-8. Medline
II Supportive (Green) Tooth viability Patient SIM Rajendran P., Varghese NO., Varughese JM., Murugaian E. Evaluation, using extracted human teeth, of ricetral as a storage medium for avulsions--an in vitro study. Dent Traumatol 2011; 27(3):217-20. Medline
II Neutral (Yellow) Tooth viability Process SIM Chen H., Huang B. (-)-Epigallocatechin-3-gallate: A novel storage medium for avulsed teeth. Dent Traumatol 2012; 28(2):158-60. Medline
II Neutral (Yellow) Tissue viability Patient Doyle DL., Dumsha TC., Sydiskis RJ. Effect of soaking in hank's balanced salt solution or milk on PDL cell viability of dry stored human teeth. Endod Dent Traumatol 1998; 14(5):221-4. Medline
III Supportive (Green) Tooth viability Process SIM Lekic PC., Kenny DJ., Barrett EJ. The influence of storage conditions on the clonogenic capacity of periodontal ligament cells: Implications for tooth replantation. Int Endod J 1998; 31(2):137-40. Medline
III Neutral (Yellow) Tooth Viability Patient Ahangari Z., Alborzi S., Yadegari Z., Dehghani F., Ahangari L., Naseri M. The effect of propolis as a biological storage media on periodontal ligament cell survival in an avulsed tooth: An in vitro study. Cell J 2013; 15(3):244-9. Medline
III Neutral (Yellow) Tooth viability Patient SIM Pileggi R., Dumsha TC., Nor JE. Assessment of post-traumatic PDL cells viability by a novel collagenase assay. Dent Traumatol 2002; 18(4):186-9. Medline

Milk
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Tooth viability Patient SIM Patil S., Dumsha TC., Sydiskis RJ. Determining periodontal ligament (PDL) cell vitality from exarticulated teeth stored in saline or milk using fluorescein diacetate. Int Endod J 1994; 27(1):1-5. Medline
II Neutral (Yellow) Tissue viability Process SIM Caglar E., Sandalli N., Kuscu OO., et al. Viability of fibroblasts in a novel probiotic storage media. Dent Traumatol 2010; 26(5):383-7. Medline
II Neutral (Yellow) Tooth viability Process SIM Chen H., Huang B. (-)-Epigallocatechin-3-gallate: A novel storage medium for avulsed teeth. Dent Traumatol 2012; 28(2):158-60. Medline
II Neutral (Yellow) Tooth viability Patient SIM Gopikrishna V., Thomas T., Kandaswamy D. A quantitative analysis of coconut water: A new storage media for avulsed teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105(2):e61-5. Medline
II Neutral (Yellow) Tooth viability Process SIM Khademi AA., Saei S., Mohajeri MR., et al. A new storage medium for an avulsed tooth. J Contemp Dent Pract 2008; 9(6):25-32. Medline
II Neutral (Yellow) Tooth viability Patient SIM Martin MP., Pileggi R. A quantitative analysis of propolis: A promising new storage media following avulsion. Dent Traumatol 2004; 20(2):85-9. Medline
III Supportive (Green) Tooth viability Process SIM Lekic PC., Kenny DJ., Barrett EJ. The influence of storage conditions on the clonogenic capacity of periodontal ligament cells: Implications for tooth replantation. Int Endod J 1998; 31(2):137-40. Medline
III Supportive (Green) Tooth viability Patient SIM Pileggi R., Dumsha TC., Nor JE. Assessment of post-traumatic PDL cells viability by a novel collagenase assay. Dent Traumatol 2002; 18(4):186-9. Medline
III Neutral (Yellow) Tooth survival Patient In-Patient Werder P., von Arx T., Chappuis V. Treatment outcome of 42 replanted permanent incisors with a median follow-up of 2.8 years. Schweiz Monatsschr Zahnmed. 2011; 121(4):312-320. Medline

Normal saline
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Healing Patient In-Patient Andreasen JO., Borum MK., Jacobsen HL., Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. factors related to periodontal ligament healing. Endod Dent Traumatol 1995; 11(2):76-89. Medline
II Supportive (Green) Tooth viability Patient SIM Patil S., Dumsha TC., Sydiskis RJ. Determining periodontal ligament (PDL) cell vitality from exarticulated teeth stored in saline or milk using fluorescein diacetate. Int Endod J 1994; 27(1):1-5. Medline
II Neutral (Yellow) Tissue viability Process SIM Caglar E., Sandalli N., Kuscu OO., et al. Viability of fibroblasts in a novel probiotic storage media. Dent Traumatol 2010; 26(5):383-7. Medline
II Neutral (Yellow) Tooth viability Patient SIM Martin MP., Pileggi R. A quantitative analysis of propolis: A promising new storage media following avulsion. Dent Traumatol 2004; 20(2):85-9. Medline
III Supportive (Green) Tooth viability Patient SIM Pileggi R., Dumsha TC., Nor JE. Assessment of post-traumatic PDL cells viability by a novel collagenase assay. Dent Traumatol 2002; 18(4):186-9. Medline
III Neutral (Yellow) Tooth survival Patient In-Patient Werder P., von Arx T., Chappuis V. Treatment outcome of 42 replanted permanent incisors with a median follow-up of 2.8 years. Schweiz Monatsschr Zahnmed. 2011; 121(4):312-320. Medline

Replantation
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Healing Patient In-Patient Andreasen JO., Borum MK., Jacobsen HL., Andreasen FM. Replantation of 400 avulsed permanent incisors. 2. factors related to pulpal healing. Endod Dent Traumatol 1995; 11(2):59-68. Medline

Saliva
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Healing Patient In-Patient Andreasen JO., Borum MK., Jacobsen HL., Andreasen FM. Replantation of 400 avulsed permanent incisors. 2. factors related to pulpal healing. Endod Dent Traumatol 1995; 11(2):59-68. Medline
III Supportive (Green) Tooth viability Process SIM Lekic PC., Kenny DJ., Barrett EJ. The influence of storage conditions on the clonogenic capacity of periodontal ligament cells: Implications for tooth replantation. Int Endod J 1998; 31(2):137-40. Medline

Water
Level Direction Primary Outcome Patient/Process Setting Reference
II Neutral (Yellow) Healing Patient In-Patient Andreasen JO., Borum MK., Jacobsen HL., Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. factors related to periodontal ligament healing. Endod Dent Traumatol 1995; 11(2):76-89. Medline
II Neutral (Yellow) Tooth viability Process SIM Khademi AA., Saei S., Mohajeri MR., et al. A new storage medium for an avulsed tooth. J Contemp Dent Pract 2008; 9(6):25-32. Medline
III Neutral (Yellow) Tooth viability Patient SIM Pileggi R., Dumsha TC., Nor JE. Assessment of post-traumatic PDL cells viability by a novel collagenase assay. Dent Traumatol 2002; 18(4):186-9. Medline


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