The tooth (with root) has been completely released from its bone socket.
Clinical
- Complete releasing of the tooth from its alveole
Radiological
- Rx of empty alveole because of possible foreign bodies that could stand in the way of a replantation
Therapy
- "Lay" avulsed tooth in tooth-rescue box for 30 minutes
- Antiresorptive regenerative therapy (ART)
- Replantation
- Splinting for 1-2 weeks
- In the case of teeth with fully-grown roots, trepanation on the day of the accident (after splinting) with Ledermix insert for 1-2 weeks, then calcium hydroxide insert for 1-2 weeks
- In the case of very wide-open apex with chance of revascularisation, no primary root canal treatment (note: very frequent radiological checks for early recognition of infection-related resorptions absolutely necessary, then root canal treatment
Prognosis
- Decisively dependent on the extraoral position