What should be done immediately after a tooth is avulsed?

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!

When a tooth is avulsed, prompt action is crucial to increase the chances of successful re-implantation. The ideal approach is to re-implant the tooth immediately, if possible. This is because the periodontal ligament cells, which are essential for the tooth to re-establish itself within the socket, can survive for a limited amount of time outside their environment. Handling the tooth by the crown (the part that is visible in your mouth) and placing it gently back into the socket is the preferred method.

If reinsertion is not feasible, the next best step is to store the tooth in a solution that will keep the periodontal cells viable, such as milk or saline, rather than wrapping it in tissue or placing it in soda. Leaving it on the ground is not protective and will almost guarantee that the tooth will dry out and be damaged. Thus, prompt re-implantation of the tooth is essential for maximizing the likelihood of preserving the tooth’s function and health.

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