TIME ELAPSED Tooth with OPEN APEX Tooth with CLOSED APEX

Tooth reimplanted a) Flush area with saline or chlorhexidine

At site b) Verify Position of tooth clinically &
Radiographically.
c) Administer systemic Antibiotics
d) Advise anti tetanus prophylaxis.
e) Place flexible !plint for " wee#s.
TIME ELAPSED Tooth with OPEN APEX Tooth with CLOSED APEX
Tooth reimplanted
immediately at site
a) Flush area with saline or chlorhexidine
b) Verify Position of tooth clinically & Radiographically.
c) Administer systemic Antibiotics
d) Advise anti tetanus prophylaxis.
e) Place flexible !plint for " wee#s
15min To 1 !r In Spe"ial
Stora#e Medi$m
a) $hange transporting
media to %&!! for '(
minutes
a) Place in %&!! for'(
minutes
b) !oa# in )* +oxycycline for
, minutes and cover Root with
A%ESTIN& -inocycline
microspheres.
b) Reimplant and initiate
R$. /0)( days after
reimplantation.
c) Reimplant and splint for "
wee#s.
'reater than 1 !r D%(
stora#e
a) Remove remnants of
periodontal ligament by
soa#ing in !odium
%ypochlorite for )(0), min. or
in $itric acid for ' min. or
debride pdl remnants with
scaler
a) Remove remnants of
Pdl by soa#ing in sodium
hypochlorite or citric acid or
debride with a scaler. 1oal is
to PR2-2.3 alveolar bone
b) 4ash & !oa# in "*
Stannous Fluoride sol. for ,
minutes.
b) !oa# in "* stannous
Fluoride for "( minutes
c) 2bturate root canal extra
orally.
c) $oat with EMDOGAIN.
d) $oat root with EMDOGAIN
& place 3-+21A56 in soc#et.
.hen reimplant and splint for 7
wee#s.
d) Reimplant with slight
digital pressure and perform
R$. if re8uired and stabili9e
for 7 wee#s.