A 10-year-old's permanent maxillary central incisor (1.1) was avulsed during a soccer game 10 minutes ago. The coach cannot replant it. Which of the following is the most appropriate medium in which to transport the tooth?

  • Correct answer

    Cold milk

  • Tap water

  • Wrapped dry in a tissue

  • Chlorhexidine 0.12% mouthrinse

This question is one of 15 in AFK practice: Oral surgery, trauma and orofacial pain. Test yourself on all of them.

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Explanations

  • Milk is physiologic and osmolality-balanced, and the IADT lists it first among readily available storage media (followed by HBSS, saliva and saline). Tap water is hypotonic and damages periodontal ligament cells; it is better only than letting the root dry.

    Source: IADT Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth (2020) link — oneguy

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