Storage medium for avulsed teeth: A narrative review

Rutuja Shinde¹image, Dinesh Rao2 image, Sunil Panwar3 image, Remi RV4 image

Highlights

Immediate replantation is essential for achieving optimal treatment success and a favorable prognosis in avulsed permanent teeth.

The biological properties of storage mediums are critical for preserving the viability, clonogenic capacity, and mitogenic potential of periodontal ligament cells.

Milk is a preferred storage medium due to its satisfactory performance, widespread availability, and cost-effectiveness in emergency situations.

Abstract

Dental avulsion is the most severe type of traumatic tooth injury, resulting in the complete displacement of the tooth from its socket in the alveolar bone. Immediate replantation of an avulsed permanent tooth is recommended for successful treatment and a good prognosis. However, replantation is not always feasible. The biological properties of the storage medium, which must preserve the viability, clonogenic capacity, and mitogenic potential of the periodontal ligament (PDL) cells, are crucial for successful reimplantation. If the root surface dries out excessively due to prolonged extraoral time before replantation, the damaged PDL cells can trigger an inflammatory response across the root surface, leading to ankylosis. There are various types of storage media, both synthetic and natural. Therefore, selecting the appropriate storage medium in an emergency is critical for improving the outcome of teeth that cannot be immediately replanted. This review examines research on various storage media for avulsed teeth, focusing on their properties and effectiveness, based on articles from electronic databases.

Keywords: Dental Trauma; Periodontal Ligament; Storage media; Tooth Avulsion; Traumatic Dental Injuries

Author Affiliations

  1. Postgraduate Student, Department of Pediatric Dentistry, Pacific Dental College and Hospital, India
  2. Professor, Department of Pediatric Dentistry, Pacific Dental College and Hospital, India (Correspondence:pedodinesh2003@yahoo.co.in)
  3. Professor, Department of Pediatric Dentistry, Pacific Dental College and Hospital, India
  4. Senior Lecturer, Department of Pediatric Dentistry, Pacific Dental College and Hospital, India
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Article Info

Contemp Pediatr Dent 2024:5(2):53-70

Received: 23 February 2024

Accepted: 11 May 2024

Online First: 25 May 2024

DOI: 10.51463/cpd.2024.6

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					Rutuja Shinde, Dinesh Rao, Sunil Panwar, Remi RV. Storage medium for avulsed teeth: A narrative review. Contemp Pediatr Dent 2024:5(2):53-70.

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