Avulsion Treatment for Knocked-Out Teeth in St James's

Expert Consultation and Assessment for Avulsed Teeth

At London Dental Specialists, our avulsion treatment for knocked-out teeth begins with a comprehensive emergency consultation and assessment. Our experienced endodontists understand that time is critical when dealing with dental avulsion, so we prioritise these cases for immediate care.

During your initial consultation, we will:

• Evaluate the condition of the avulsed tooth and surrounding tissues


• Assess the time elapsed since the injury occurred


• Review any first aid measures taken to preserve the tooth


• Take detailed x-rays to check for additional damage


• Discuss your medical history and any relevant factors

Our specialists will then develop a personalised treatment plan aimed at saving your natural tooth whenever possible. We'll explain all options clearly, including:

• Immediate replantation techniques


• Necessary splinting procedures


• Potential root canal therapy


• Follow-up care and monitoring

If replantation is not viable, we'll discuss alternative restoration options to maintain your smile and oral health.

What to Bring to Your Consultation

To ensure the most effective assessment, please bring:

• The avulsed tooth (properly stored in milk or saline)


• Any tooth fragments you may have collected


• Information about how the injury occurred


• Your medical and dental history records, if available

Remember, swift action within 30 minutes of the injury significantly improves the chances of successful replantation. Our team is ready to provide expert care and support throughout your avulsion treatment journey.

Customised Avulsion Treatment Plan for Knocked-Out Teeth

At London Dental Specialists, we develop a personalised treatment plan for each patient with an avulsed tooth. Our approach is tailored to maximise the chances of successful replantation and long-term tooth survival.

Key Components of Our Custom Treatment Plan:

• Immediate Replantation: If possible, we aim to replant the tooth within 30 minutes of the injury for optimal outcomes.


• Cleaning and Preparation: Gentle cleaning of the tooth and socket to remove debris without damaging vital cells.


• Splinting Technique: Application of a flexible splint to stabilise the replanted tooth for 1-2 weeks, depending on the case.


• Antibiotic Therapy: Prescription of appropriate antibiotics to prevent infection and support healing.


• Root Canal Assessment: Evaluation for potential root canal treatment, typically performed 7-10 days post-replantation.

Factors Influencing Our Treatment Approach:

Follow-up Care and Monitoring:

Our treatment plan includes a comprehensive follow-up schedule:

• 24-48 hours post-replantation: Initial check-up


• 1 week: Splint evaluation


• 2 weeks: Splint removal (if appropriate)


• 4 weeks: Clinical and radiographic examination


• 3 months: Reassessment and potential root canal therapy


• 6 months and 1 year: Long-term monitoring

We provide detailed aftercare instructions to support optimal healing, including:

• Soft diet recommendations


• Oral hygiene guidelines


• Activity restrictions


• Signs of complications to watch for

At London Dental Specialists, our goal is to provide the most effective avulsion treatment, giving your knocked-out tooth the best chance of long-term survival and preserving your natural smile.

Avulsion Treatment for Knocked-Out Teeth: Treatment Procedures

At London Dental Specialists, our avulsion treatment for knocked-out teeth focuses on swift and precise replantation to maximise the chances of tooth survival. Our experienced endodontists perform the following key procedures:

Tooth Preparation and Replantation

• Gentle Cleaning: We carefully rinse the avulsed tooth with sterile saline to remove debris without damaging vital cells.


• Socket Examination: Our specialists inspect the socket, removing any blood clots that may hinder proper repositioning.


• Precise Replantation: Using gentle digital pressure, we carefully reinsert the tooth into its socket, ensuring correct alignment.

Splinting Technique

After replantation, we stabilise the tooth using a flexible splint:

• A thin, flexible wire or nylon fishing line is used to secure the replanted tooth to adjacent teeth.


• The splint is typically left in place for 7-14 days, depending on the specific case.


• This flexible splinting allows for slight movement, which promotes periodontal ligament healing.

Antibiotic Therapy

To prevent infection and support healing, we may prescribe:

• Systemic antibiotics, typically amoxicillin or doxycycline for patients allergic to penicillin.


• Topical antibiotics may be applied to the tooth root in some cases to enhance revascularisation chances.

Root Canal Assessment and Treatment

Root canal therapy is often necessary for avulsed teeth, particularly those with closed apices:

• We typically initiate root canal treatment 7-10 days post-replantation.


• For teeth with open apices, we may monitor for potential pulp revascularisation before deciding on root canal therapy.


• The procedure involves removing the damaged pulp, cleaning the canal, and filling it with a biocompatible material.

Follow-up Care

Our comprehensive aftercare includes:

• Regular check-ups to monitor healing and detect any complications early.


• Radiographic examinations to assess bone healing and check for signs of root resorption.


• Adjustments to the treatment plan if needed, based on the tooth's response to treatment.

At London Dental Specialists, we employ advanced techniques and state-of-the-art equipment to provide the most effective avulsion treatment for knocked-out teeth. Our goal is to preserve your natural tooth and restore your smile's function and aesthetics.

Post Avulsion Treatment for Knocked-Out Teeth Treatment Care

Comprehensive follow-up care is essential for the long-term success of avulsion treatment for knocked-out teeth. At London Dental Specialists, our post-treatment care protocol is designed to monitor healing, prevent complications, and ensure the best possible outcome for your replanted tooth.

Regular Monitoring Appointments

After your initial avulsion treatment, we schedule a series of follow-up appointments:

• 24-48 hours post-replantation: We assess initial healing and ensure proper positioning


• 1 week: Evaluation of splint integrity and early healing signs


• 2 weeks: Splint removal (if appropriate) and assessment of tooth stability


• 4-6 weeks: Clinical and radiographic examination to check for signs of pulp necrosis or root resorption


• 3 months, 6 months, and 1 year: Long-term monitoring to detect any delayed complications

Root Canal Therapy Management

For most avulsed permanent teeth, root canal treatment is a necessary part of post-avulsion care:

• Typically performed 7-10 days after replantation to prevent inflammatory root resorption


• May involve temporary calcium hydroxide medication before final root filling


• Regular radiographic assessment to monitor the success of endodontic treatment

Addressing Potential Complications

Our specialists vigilantly monitor for common complications following tooth avulsion:

• Root resorption: Early detection through regular radiographs allows for prompt intervention


• Ankylosis: We assess tooth mobility and percussion sounds to identify fusion of tooth to bone


• Pulp necrosis: Treated with timely root canal therapy to prevent infection


• Marginal bone loss: Managed through appropriate periodontal treatments

Home Care Instructions

We provide detailed guidance for at-home care:

• Oral hygiene: Gentle but thorough cleaning around the replanted tooth


• Diet recommendations: Soft foods for 1-2 weeks and avoiding biting with the affected tooth


• Chlorhexidine rinse: Antimicrobial mouth rinse to prevent infection


• Pain management: Appropriate analgesics as needed


• Activity restrictions: Avoiding contact sports and using a mouthguard when returning to physical activities

Long-term Prognosis and Planning

The success rate for replanted avulsed teeth is approximately 65% within the first few years. Our team provides realistic expectations and develops contingency plans if complications arise:

• Regular assessment of tooth stability and function


• Discussion of alternative options if the prognosis becomes unfavourable


• Preparation for potential future restorative needs

At London Dental Specialists, our commitment to your oral health extends well beyond the initial avulsion treatment. Our comprehensive post-treatment care ensures the best possible chance for long-term tooth survival and preservation of your natural smile.