NATURAL MEDIA VS ARTIFICIAL MEDIA FOR PRESERVATION OF AVULSED TOOTH.-Original Reaserch

Abstract

Dental avulsion may be defined as the displacement of the tooth from its socket as a result of trauma. The best possible treatment for an avulsed tooth is replanting it immediately (i.e., less than five minutes). Unfortunately, and most of the times avulsed teeth experience delayed replantation. The success of delayed replantation depends on the vitality of the periodontal ligament cells remaining on the root surface. The chances of root surface damage are higher when tooth replantation is not performed immediately or if the avulsed tooth is not stored in an adequate storage medium. This invariably leads to necrosis of pulp tissue, periodontal ligament cells and thus increasing the possibility of root resorption, which is the main cause of loss of replanted teeth. Isotonic medium is superior to dry storage in the storage of avulsed tooth. Natural storage media are tap water, milk, saline, saliva, coconut water, egg white, propolis extract, green tea extract, aloe vera, pomegranate juice, red mulberry etc. Synthetic storage media are Gatorade, contact lens solution, HBSS, viaspan, emdogain, culture media etc. In this article, we are going to discuss the most suitable media for interim storage of the avulsed tooth by comparing the natural and synthetic storage media. KeyWords: preservative, media, avulsed teeth, Dental tissue