Dental and Oral Tissue Trauma · CDA

What is the most critical first aid step when a permanent tooth is completely knocked out (avulsed) in the dental office or an accident site?

  1. Brush and thoroughly dry the tooth before re-implantation
  2. Hold it by the crown and reinsert it into the socket at once
  3. Store the tooth in ordinary tap water until the patient sees the dentist
  4. Discard the tooth and plan for a removable denture instead
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Correct answer: Hold it by the crown and reinsert it into the socket at once

The best chance to save an avulsed permanent tooth is to pick it up by the crown (not the root) and attempt to reinsert it into the socket immediately — this preserves periodontal ligament cells and improves prognosis.

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