I would NOT!

In my opinion, priority should be given to the permanent tooth - so any Treatment, with the risc of producing "harm" to the permanent tooth should be avoided. Replantation of avulsed teeth may cause inflammatory Resorption, even if the tooth and the alveola are cleaned, the Primary incisor very softly reinserted and immobilized.

Hello again. Good day to you and hope you are doing great.

Evidence is somewhat controversial and limited here I guess. Many text books are not in favour but you may also find cases which have been successful.

Well I think it varies from case to case. Some can be replanted and some cannot. Factors such as time after trauma and storage medium will make a major impact upon success and failure. The trauma caused due to the impact also makes a lot of difference. I once reimplanted an avulsed primary incisor of a 3 year old boy, splinted and did endodontic therapy. It worked well and patient had no problems afterwards. 

Best wishes and do share recent evidence if you can.

Thank you Dr Ina Schueler.

Thank you Dr Abu-Hussein Muhamad.

Thank you Dr Haroon Rashid for sharing your personal experience.

Thank you Dr Haroon Rashid for sharing your personal experience.

Replantation of avulsed primary tooth is definitely not cost effective. Following treatments represent unjustifiable burden for pediatric patient with little gain. Replanted tooth usually undergoes premature root resorption. Simple solution is space maintainer = removable denture without retention clasps that should be checked in 6 month intervals and exchanged as necessary. I my experience patients tolerate it very well.

See also: http://www.dentaltraumaguide.org/Primary_Avulsion_Treatment.aspx

Hi Naveen

PFA paper from IJPD - A systematic review of Replantation of Primary Teeth. It is based on case series and hence the evidence is low or very low. Since this paper was presented in our dept during a journal session, we have replanted 3 primary incisors. But we are very cautious about it. The longest follow up we have is for around 20-24 months since replantation. Shall try to retrieve the xrays and put it here soon for a discussion. However, there are no clear guidelines and it is a controversial topic. This paper is the most recent systematic review in a Pediatric Dentistry journal ( i am not sure whether any other review has come after 2014). I also suggest you to make your own judgement based on the case scenario after reading this paper.

Thank  you Muthu sir for this valuable information.

In one case we also replanted primary tooth but on follow up this tooth showed resorption.

So we are always in doubt whether to replant or not. I think this article is very useful.

The success of replantation of an avulsed primary incisor is considered more uncertain than in permanent incisor. Andereasen & Andereasen advice not to replant because of the risk of indengering the permanent germ by pushing the coagulum towards it, beside the frequency of pulp necrosis. Mac Donalds stated: it can be done in certain conditions (clean wound not combining with other injuries& child cooperation).

According to Andreasen replantation of primary tooth is not advisable.

thank you dr Nirmala.

The relevant studies related to replantation of primary teeth are scanty and most authors recommend not to replant an avulsed primary tooth. There is a lack of quality studies with good sample size and long follow up periods. Although the typical mindset of many pediatric dentists is not to replant primary teeth but still evaluating the risks and benefits of the replantation procedure will allow us to take steps which will be beneficial to the parents and the child.