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The tooth has already been replanted
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The tooth has been kept in special storage media, milk, saline or saliva.
The extraoral dry time is less than 20 minutes
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Extraoral dry time > 60 minutes
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Clean affected area with water spray or saline
Do not extract the tooth
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If contaminated, clean the root surface and the apical foramen with a stream of saline.
Remove the coagulum from the socket with a stream of saline. Examine the alveolar socket. If there is a fracture of the socket wall, reposition it with a suitable instrument. Replant slowly with slight digital pressure.
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In teeth with imature root formation replantation is generally not indicated (xx)
In teeth with completed root formation
a) Remove debris and the necrotic periodontal ligament.
b) Perform a pulp extirpation.
c) Immerse the tooth in a 2.4% sodium fluoride solution acidulated to a pH 5.5 for 20 min
d) Rinse the root and the root canal with saline
e) Root fill the tooth
f) Remove the clot in the socket
g) Reposition the tooth
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