In addition to the successful replantation of avulsed permanent teeth,
the replantation of primary anterior teeth may also be indicated. The
decision is based on age and stage of tooth development, development
of dentition, storage of the avulsed tooth and the way it is transport
ed to the treatment site, the appropriate in vitro treatment of the to
oth before reinsertion, and the willingness of the child to cooperate.
A method involving retrograde filling of the primary tooth root with
calcium hydroxide after resecting the root apes has proved successful.
Other commercially available root. filling materials and pins are not
indicated. Calcium hydroxide allows the tooth to heal in place withou
t reaction and prevents the development of apical periodontitis. As re
gards any surgical intervention, the attending dentist in this case ha
s to weigh the benefits against the risks.