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Procedure

Replanting an avulsed tooth

Chairside steps for a permanent tooth knocked out.

Time critical

Replant within 60 min dry time if possible

Anaesthetic

Often needed

Key kit

Saline, flexible splint, composite

Splint

2 weeks flexible

Before you start

  • • Confirm it is a permanent tooth — never replant primary teeth Avulsed permanent tooth
  • • Note extra-oral dry time and storage medium

Steps

  1. 1

    Clean

    Hold by the crown; rinse the root with saline. Do not scrub.

    Avulsed permanent tooth
  2. 2

    Prepare socket

    Local anaesthetic; irrigate the socket with saline and remove the clot.

  3. 3

    Replant

    Replant slowly with light finger pressure; check position radiographically.

  4. 4

    Splint

    Flexible splint for 2 weeks.

  5. 5

    Plan endodontics

    Closed apex: start root canal treatment within 2 weeks.

    Avulsed permanent tooth

Aftercare

  • • Check tetanus status
  • • Soft diet, chlorhexidine rinse, follow-up schedule per IADT

Related topics

Avulsed permanent tooth

Sources

Checked on 2026-10-22.

General guide summarised from the sources above. Follow your training and local protocols.