Family doctors’ role in treatment of childrens and teenagers dislocated front permanent teeth

Preservation of a permanent tooth that a child has lost depends on a family doctor’s immediate and proper action. The replantation procedure, refixation of a dislocated tooth in a tooth-socket, should be carried out immediately after an injury. The best results are achieved when replantation is done within 20–30 minutes after the injury as peridontal cells are able to stay alive then and tissue can regenerate. In such circumstances the rate of successful treatment is between 85% and 97%. The longer the tooth is outside the oral cavity, especially in dry environment, the higher the rate of the postreplantation complications. In case of great fear of replantation each family doctor’s duty is to protect the dislocated tooth (without touching its root), in suitable transport medium, in order to keep the cells of peridontal ligament alive. Such solution should be sterile, with the adequate pH and osmolarity. The best is Hanks’ solution which is available as a ready Save-A-Tooth set (the tooth in such environment can be preserved up to 24 hours). It is advisable to have a set containing this solution in each family doctor’s consultation room. With a big success can also be used solutions for storing contact lenses, physiological saline, milk or eventually water. Delivering the dislocated tooth with a patient to a dentist’s surgery as quickly as possible is essential too.
Further procedure of the dislocated tooth is due to a stomatologist. Such teeth require a long-time
treatment.