Year: 2024 | Month: July-September | Volume: 9 | Issue: 3 | Pages: 49-61
DOI: https://doi.org/10.52403/gijhsr.20240307
Storage Media for Dental Avulsion: A Literature Review
Priyanka Balakrishnan1, Daya Srinivasan2, Senthil Eagappan A R3, Rajeshwari4, Raaja Sreepathy CS5
1Department of Pedodontics and Preventive dentistry, Chettinad Dental College and Research Institute, Kelambakkam, Chennai, India.
2Department of Pedodontics and Preventive dentistry, Chettinad Dental College and Research Institute, Kelambakkam, Chennai, India.
3Department of Pedodontics and Preventive dentistry, Chettinad Dental College and Research Institute, Kelambakkam, Chennai, India
4Department of Pedodontics and Preventive dentistry, Chettinad Dental College and Research Institute, Kelambakkam, Chennai, India
5Department of Periodontics and Implantology, Sri Venkateswara Dental College and Hospital, Thalambur, Chennai, India
Corresponding Author: Priyanka Balakrishnan
ABSTRACT
Tooth avulsion is a critical dental emergency where immediate and appropriate management is essential for the successful reimplantation of the tooth. The choice of storage medium during the extra-alveolar period significantly impacts the viability of periodontal ligament (PDL) cells, crucial for the long-term retention of the replanted tooth. This review examines various storage media proposed for avulsed teeth, assessing their pH, osmolality, and overall efficacy in maintaining PDL cell viability. A comprehensive literature search was conducted across databases including PubMed, Scopus, and Google Scholar, identifying media such as Hank’s Balanced Salt Solution (HBSS), milk, saline, propolis, coconut water, and more. Ideal storage media should exhibit antimicrobial properties, maintain physiological osmolality and pH, support PDL cell viability, and be readily available. HBSS is highlighted as the gold standard, with its ability to preserve PDL cells for up to 48 hours. Other effective media like milk, soy milk, and oral rehydration solutions are discussed for their accessibility and performance. Emerging media such as propolis and epigallocatechin-3-gallate show promise but require further research. This review emphasizes the importance of public awareness and accessibility to effective storage media to improve the prognosis of avulsed teeth.
Keywords: Storage Media, Dental Avulsion, PDL viability.