Tooth replantation is a procedure to reinsert a tooth that has been knocked out (avulsed). In this procedure, the tooth is positioned back into the empty space in the gum where the tooth came out (socket).

You may have this procedure if you have a tooth that was avulsed due to an injury or an accident. If you lost a baby tooth (primary tooth), it will not need to be replanted. An adult tooth (permanent tooth) may be saved if it is replanted into your gum socket quickly. It is usually best if the tooth is replanted within one hour of the tooth injury.

  • Any allergies you have.
  • All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
  • Any problems you or family members have had with anaesthetic medicines.
  • Any blood disorders you have.
  • Any surgeries you have had.
  • Any medical conditions you have.

Generally, this is a safe procedure. However, problems may occur, including:

  • Damage to surrounding nerves, tissues, or tooth structures.
  • Infection.
  • Blood clots.
  • Bleeding.
  • Failure of the tooth to reattach its roots to the gum.
  • Your health care provider will perform an exam to determine if your tooth is healthy enough to be replanted.
  • You may have X-rays to check for broken bones (fractures).
  • Your tooth may be gently cleaned and stored temporarily.
  • You may have a tetanus booster shot if your tooth came in contact with soil.
  • You will be given one or more of the following:
    • A medicine that helps you relax (sedative).
    • A medicine that numbs the area (local anaesthetic).
  • Your health care provider will flush your mouth and the empty gum socket with water, a saline solution, or a germ-killing solution (antiseptic). Then your gum socket may be dried gently with gauze.
  • If your gum socket is torn, it may be repaired with stitches that dissolve as your mouth heals (absorbable sutures).
  • Your health care provider will reposition the tooth in the socket. You may have to bite down on a gauze pad or a thin wooden stick (tongue depressor) to keep the tooth in place.
  • Your health care provider will stabilize the tooth with a splint. The splint will be attached to a tooth that is next to the one that was replanted.

The procedure may vary among health care providers and hospitals.

  • Your health care provider may use X-rays to check the proper positioning of the tooth.
  • You may be given antibiotic medicine to take at home to prevent infection.
  • You may be given medicine to manage pain.

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