BEST EVIDENCE TOPIC REPORTS
BET 3. AVULSED TOOTH BROUGHT IN MILK FOR REPLANTATION
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Report by: Deepak Doshi, Specialist Registrar in Emergency Medicine
Search checked by: Kerstin Hogg, Specialist Registrar in Emergency Medicine
Institution: Emergency Department, Blackburn Royal Infirmary, Blackburn, UK
A short-cut review was carried out to establish whether avulsed teeth should be stored in milk to improve the chances of successful replantation. Eight studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these studies are shown in table 1. The clinical bottom line is that storing avulsed teeth in milk or a dedicated storage medium does improve the successful replantation rate.
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View this table: Table 1 Relevant papers
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In [a child with a traumatic avulsion of a tooth] does [transport of the tooth in milk or some other medium as opposed to being kept dry] improve [survival of the tooth after replantation]?
A healthy 14-year-old boy involved
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