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.
