Diagnosis ,Clinical situation

The tooth has already been replanted

The tooth has been kept in special
storage media, milk, saline or saliva.
The extra-oral dry time is less than
60 min

Extra-oral dry time >60 min

Treatment

Clean affected area with water spray, saline or chlorhexidine
Do not extract the tooth (x)

If contaminated, clean the root surface and apical foramen with a stream of saline.
Remove the coagulum from the socket with a stream of saline. Examine the alveolar socket. If there is a fracture in the socket wall, reposition it with a suitable instrument.
Replant slowly with slight digital pressure (x)

Remove debris and necrotic periodontal ligament (xx) Remove the coagulum from the socket with a stream of saline. Examine the alveolar socket. If there is a fracture of the socket wall, reposition it with a suitable instrument.
Immerse the tooth in a 2.4% sodium fluoride solution acidulated to a pH 5.5 for a minimum of 5 min or, if available, fill the socket with Emdogain~.
Replant slowly with slight digital pressure (xx)

Suture gingival laceration, especially in the cervical area
Verify normal position of the replanted tooth radiographically
Apply a flexible splint for 1 week (x)

Administer systemic antibiotics: Doxycycline 2x per day for 7 days at appropriate dose for patient age and weight (xx).
Refer to physician to evaluate need for a tetanus booster if avulsed tooth has come into contact with soil or tetarus
coverage is uncertain
Initiate endodontic treatment after 7—10 days. Place calcium hydroxide as an intra-canal medicament (x)