IADT emergency flow for an avulsed permanent incisor
This IADT pediatric dental trauma flowchart covers the urgent first steps after a child has a knocked-out tooth. The initial distinction is essential: a primary tooth is not replanted, whereas an avulsed permanent tooth should be protected from root-surface damage and transferred urgently for dental care. The diagram directs the handler to hold a permanent tooth by the crown and use a suitable moist storage medium.
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Scenario
A child arrives after avulsion of an anterior tooth, and the team must immediately distinguish a primary tooth from a permanent one. The permanent-tooth pathway emphasizes avoiding root damage and minimizing dry time before urgent professional care.
Key decisions
- Tooth type: Primary teeth are not replanted, while an avulsed permanent tooth follows the emergency pathway.
- Root handling: Holding the tooth by the crown protects periodontal-ligament cells on the root.
- Storage medium: Milk, HBSS, saliva, or saline helps prevent root-surface dehydration during transfer.
- Flexible stabilization: Replantation is followed by a flexible splint for two weeks and structured review.
When to reuse this
Use this as an emergency teaching or clinic-reference flow for an avulsed permanent incisor in a child. It is not a substitute for immediate assessment by a dental professional.
Frequently asked questions
Should a knocked-out primary tooth be replanted?
Why handle the tooth by the crown?
Which storage media are shown?
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