Conservative Management of Traumatized Anterior

Patient came < 60 mins with tooth kept in storage medium-

In case of OPEN apex….

Clean the socket first with water spray or normal saline and never hold root surface of the tooth.

Sock the tooth in Doxyclycline for 5 minutes.

Then re-planted the tooth with slight digital pressure.

Apply flexible splint for 2 weeks

appexification is recomanded.

In case of CLOSE apex…

RCT.

Patient came > 60 mins with tooth not kept in storage medium-

Debribe with soft pumice pro , gauge, gentle scaling , 3% citric acid for 5 minutes,  2% NaF for 5-20 mins/ cover the root with Emdogain before replantation.

Adjuvente therapy-  Antibiotic & Analgesics.

                           Tetanus prophylaxis.

Patient advice- Soft diet upto 02 weeks,

                   Gentle tooth brushing.

                   M/w:-  1% twice daily for 1 week.