Article: Volume 44 Number 8 Page 713 - September 2017

  Dent Update 2017; 44: 713-723  Read article

Paediatric dentistry:  Immediate Management of Avulsion Injuries in Children

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Abstract: Avulsion is the complete displacement of a tooth from the socket and is considered a dental emergency. The pulp is severed from the neurovascular supply apically and the periodontal ligament is ruptured or torn. Expedient management of avulsion injuries is required, including appropriate telephone advice and emergency management. In the majority of cases, re-implantation and splinting is indicated. The ultimate aim of treatment is for an avulsed tooth to achieve periodontal healing. However, unfavourable healing can lead to pulpal necrosis, inflammatory resorption and replacement resorption of the tooth, leading to premature tooth loss.

Clinical relevance: Avulsion of a tooth is a dental emergency that requires prompt re-implantation and splinting of the tooth. It is imperative that all dentists are able to provide initial telephone advice and emergency management, including re-implantation and splinting.

Author notes: Jennifer Kirby, BDS(Glas), MFDS(RCPSG), PG Cert, StR in Paediatric Dentistry, Helen Rogers, BDS (Newc), MFDS RCS(Eng), PG Dip, ACF in Paediatric Dentistry, Mona Agel, BDS(Sheff), MJDF RCS(Eng), MSc DPH (Distinc), Specialty Dentist in Paediatric Dentistry, Charles Clifford Dental Hospital, Wellesley Road, Sheffield S10 2SZ and Fiona Gilchrist, BDS, MClin Dent, PhD, MPaed Dent, FDS(Paed Dent), Senior Lecturer in Paediatric Dentistry, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield S10 2TA, UK.

Objective: To recognize how to manage a child with an avulsion injury and the long-term outcomes of such an injury.