23 year-old healthy male patient’s maxillary central incisor was avulsed less than one hour ago. The avulsed tooth was stored in milk since the incident. The radiograph and clinical exam showed no sign of fracture of alveolar socket. Treatment of choice is Doxicycline 100mg BID for 7 days, Chlorhexidine mouthrinse (0.1%) BID for 1 week and:
- Reimplant after rinsing with saline, flexible splint for 7 days, followed by RCT in 7-10 days with Ca(OH)2 as an intra-canal medicament.
- Soak the avulsed tooth in pH5.5, 2.4% Sodium Fluoride for minimum of 5 minutes, flexible splint for 7 days, followed by NSRCT in 7-10 days with Ca(OH)2 as an intra-canal medicament.
- Complete NSRCT extra-orally, reimplant and stabilize for 3 weeks.
- Reimplantation is not indicated.
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