What is the recommended action for an avulsed (knocked-out) tooth?

Study for the NOLS Wilderness Medicine Wilderness First Responder Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The recommended action for an avulsed (knocked-out) tooth is to re-implant it promptly, as immediate action can greatly increase the chances of saving the tooth. When a tooth is avulsed, the periodontal ligament cells on the root surface can survive temporarily if the tooth is kept moist and handled correctly. It is best to reinsert the tooth into the socket as soon as possible, ideally within 30 minutes to an hour.

If reimplantation is not possible, it is crucial to transport the tooth carefully by the crown (the part that is visible above the gum line) and place it in a suitable solution that helps preserve these vital cells, such as sterile saline or the patient’s own saliva. Storing the tooth in water is not advisable, as it can cause the cells on the root surface to burst, making the tooth less likely to survive re-implantation.

Seeking professional dental help is important, but prompt action taken prior to reaching a dental professional can significantly impact the outcome regarding the tooth’s viability. Burying the tooth is clearly inappropriate, as it does not allow for any chance of reimplantation or professional intervention.

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