DENTAL AVULSION: Immediate management of this dental trauma

Avulsion is a relatively uncommon type of traumatic injury to the permanent dentition.

From a clinical perspective, since avulsions occur infrequently, the average practitioner will not instinctively know how best to treat each (rare) case that he/she encounters.

It occurs most frequently between the ages of 7–14 years. The majority of these injuries occur in the maxillary central incisors. 

When a tooth is avulsed, attachment damage and pulp necrosis occurs. The tooth is ‘separated’ from the socket, mainly due to the tearing of the periodontal ligament that leaves viable periodontal ligament cells on most of the root surface.


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