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Emergency Medicine Journal 2009;26:736-737; doi:10.1136/emj.2009.082487
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 3. AVULSED TOOTH BROUGHT IN MILK FOR REPLANTATION

The first 150 words of the full text of this article appear below.

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.


 

THREE-PART QUESTION

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]?

CLINICAL SCENARIO

A healthy 14-year-old boy involved . . . [Full text of this article]


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