Replace avulsed tooth as soon as possible with local analgesia ±<unk>  block (as long as no alveolar ridge fracture or severe socket injury)
If reimplanted within 1hr 66% chance of good outcome
Rinse (no scrubbing!) tooth in saline
Manipulate tooth only by the crown (Avoid touching root to minimize damage to periodontal ligament)
Splint tooth with adjacent teeth
If extraoral time > 60 min, soak in citric acid/fluoride and consult dentist
Storage solution (in order of efficacy): Hank's Balanced Salt Solution > Milk > saliva > saline
Doxycycline 100mg PO BID x 1week (helps periodontal ligaments heal)
Penicillin OR Clindamycin are alternatives, especially in pediatrics
Tetanus update
If reimplanted within 1hr 66% chance of good outcome
Rinse (no scrubbing!) tooth in saline
Manipulate tooth only by the crown (Avoid touching root to minimize damage to periodontal ligament)
Splint tooth with adjacent teeth
Do not re-implant primary teeth
Increased risk of interference with the eruption of the permanent tooth
Refer to pediatric dentist for space maintainer within 1-2 weeks.
Increased risk of interference with the eruption of the permanent tooth
Dental avulsion
Dental fracture
Stingray injury
Dental subluxation
Penetrating neck trauma
Bleeding dental socket
Lisfranc injury
Acute alveolar osteitis 