Socket to Survival: Narrative Insights into Storage Media for Avulsed Teeth

Abstract:

Dental avulsion, the complete displacement of a tooth from its socket, represents the most severe form of traumatic dental injury due to extensive damage to supporting structures. Immediate replantation is ideal, as extra-oral time is a critical determinant of treatment success and long-term prognosis. Effective management protocols must prioritize the viability of pulp and periodontal ligament (pdl) cells, as an unsuitable transport or storage medium significantly increases the risk of pdl cell necrosis, leading to complications like ankylosis and replacement resorption. Therefore, an informed selection of an appropriate storage medium is essential for a favourable outcome. This review aims to assess various available storage media, highlighting their advantages and disadvantages to identify optimal approaches for periodontal tissue preservation.

Keywords: Dental Avulsion; Periodontal Ligament; Storage media; Traumatic Dental Injuries; Hank's balanced salt solution (hbss); saline; milk; egg white; coconut water; propolis; Replacement Resorption.