Tooth reimplantation

What is meant by tooth reimplantation?

Teeth that are completely knocked out of their sockets due to an impact can be replanted in their place.

Success rate of tooth replantation

The success of tooth reimplantation depends on the survival and health of the cells on the surface of the root of the extracted tooth, and survival depends on two factors:

First, the period of time that the tooth was out of its cavity, and second, the environment in which the tooth was placed until re-implantation. The length of time the tooth is out of its socket plays an important role in the success of the reimplantation procedure. The longer this time, the greater the failure. If the tooth is placed before 30 minutes, the success rate is 90%. If it is placed in its place after 2 hours, 95% of us are facing failure. Of course, this does not mean that if 2 hours have passed since the tooth was removed and it has been out of the cavity for hours, we should consider reimplanting it because even after hours, there is a possibility of successful reimplantation of the tooth.

Necessary care, between the impact and the dental implant

  1. When the tooth jumps out of its cavity, it must be found. Manipulation of the surface of the tooth root should be strictly avoided.
  2. To remove the tooth, grab it by the crown. If a tooth falls out, if you see a foreign object such as sand or debris, while only holding the crown of the tooth firmly with your finger, you should clean the root surface only with physiological serum or with a mild and lukewarm flow. And strictly avoid touching the root and rubbing it or pulling a cloth on it to avoid damaging the cells.
  3. Avoid using any detergents, disinfectants, or chemicals.
  4. If you can put the tooth in your cavity, if the tooth is badly damaged and if you are unable to put the tooth in its place, after cleaning the surface of the root immediately until you reach the dental treatment center, put the tooth in milk or normal saline (saline serum 9 per thousand) or the saliva of the injured person, or even normal water, and get yourself to the dentist immediately.
  5. Egg white can also be used to preserve teeth until the dentist arrives. Research has shown that egg white is as effective as milk in maintaining the health of cells.

Stage after tooth replantation

After the dentist has placed the displaced teeth in their place and fixed them. For the patient, antibiotics to prevent infectionHe prescribes anti-tetanus medicine due to the contamination of the teeth with soil and the possibility of tetanus.

 

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Dr.AhmadSheibaninia, Orthodontic Fellowship and Oral Surgeon

One of Iran’s pioneering orthodontists to treat patients using invisible orthodontics (since 2004) and among the first globally to perform invisible orthodontic treatment involving tooth extraction.

Holder of a revolutionary US-registered patent that eliminates the need for operating-room upper-jaw surgery and general anesthesia for patients of all ages.

Author of *Problem-Based Research*—the country’s most practical guidebook for conducting research projects across all medical and dental disciplines.

Recipient of the 2018 Asia Peace Award; Dr. Ahmad Sheibaninia was honored in Macau by the Sino-Luso organization as an exemplary Asian dentist in recognition of his valuable inventions and scientific publications.