Never reimpant a primary tooth.If replaced, primary teeth have a high likelihood of fusing to underlying alveolar bone, which causes dentoalveolar ankylosis and can result in facial deformities
Never wipe off a tooth, or hold it by the root. The periodontal ligament is easily wiped off and the tooth will not reimplant without it.
For maximal success, the tooth should be reimplanted within 60 minutes.
Avoid allowing the periodontal ligament from drying out.Transport the tooth in (listed in order of preference):
Hanks Solution or EMT Tooth Saver
Milk
Saline
Saliva
Once the tooth is reimplanted it should be held in place with a wire splint or Coe-Pak that bridges the avulsed tooth to the ones on either side of it.
Place the patient on antibiotics (Penicillin or Clindamycin) in order to prevent any infections.
If the avulsed tooth can not be found a Chest X-ray should be obtained to ensure that the tooth was not aspirated.
