When is a dental reimplantation necessary?
Dental reimplantation is a type of dental procedure that consists of reinserting teeth that for various reasons may have come out of their natural space.
It is very important to bear in mind that the success or failure of this practice will depend on what happens after tooth loss, although it should be noted that not all teeth are likely to be replanted.
When to do a dental reimplantation?
The term dental reimplantation is known as the reinsertion of a tooth, with or without living pulp, in its natural space within the mouth after having been extracted by accident or intentionally.
The most frequent reason for reimplantation is blows or trauma, and urgent therapeutic action is essential for its prognosis. In the case of accidental replantations, these are indicated when the cause of tooth extraction is of traumatic origin.
On the other hand, reimplantations that are deliberately performed after an extraction to carry out the root canal treatment extraorally, and are placed back in their normal space, are called intentional. A technique that, by the way, is currently in disuse.
Not all teeth can be replanted. For example, in the case of milk teeth in children, it is not necessary to do it, since only one piece has been lost that should have fallen out naturally.
On the other hand, if the missing tooth is permanent, then the procedure is required. However, even in these cases, we must be cautious, since, we reiterate, not all teeth can be reimplanted. Rather, everything will depend on what happens after the loss.
What measures to take before a missing tooth?
In case of loss of a dental piece, time is an important aspect to consider. As soon as the tooth falls out, the patient should contact their trusted dentist.
It is essential to ensure that you avoid touching the root at all costs, instead grasping the tooth by the crown. Subsequently, it should be rinsed with enough water without applying any type of soapy solution.
Instead, you can opt for a little milk, since the objective is to eliminate the dirt in it. Also, it can be placed gently in the alveolus and bite a cloth, rag or napkin, in order to keep the tooth in place, without excessively pressing it.
In case it has not been possible to protect the tooth in a moist environment, the dentist can still reimplant it. However, if the piece dries out too much, the periodontal ligament can die.
If this happens, then the best treatment to rehabilitate the absence will have to be assessed, based on options such as tooth-supported bridges or osseointegrated implants.
How is a dental reimplantation performed?
Once you go to the dentist, he will be in charge of carrying out the dental reimplantation procedure.
It consists of cleaning the area where the tooth will be reinstalled, placing it in the correct position, bringing it closer to the other pieces and finally proceeding to prescribe some analgesic and anti-inflammatory medications that relieve possible pain.
In addition, post-dental reimplantation care is very important, such as the act of brushing the teeth with great care, using antiseptics and continuing to visit the dentist periodically for continuous check-ups.
Lastly, in cases where a lot of time has been lost and it becomes impossible to re-implant a missing tooth, the dentist should be able to recommend another implant option to replace the tooth.
