Coconut Water (Cocos nucifera) as Storage Media for the Avulsed Tooth

Aan Mi’Dad Arrizza,Amatul Firdaus Ramadhan

doi:10.14693/jdi.v17i3.39

Aan Mi’Dad Arrizza, Amatul Firdaus Ramadhan

Open Access

https://doi.org/10.14693/jdi.v17i3.39

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Abstract

Avulsion is a condition of tooth displacement outside the socket due to the trauma. In a case of tooth avulsion case of per-manent teeth, the treatment of choice is replanting the tooth back to the socket. The main concern prior to tooth replanta-tion is to maintain the vitality of periodontal ligament (PDL) cells. The vitality of PDL cells is crucial to form new perio-dontal ligament tissue to support the teeth in order to achieve the success of replantation treatment. Therefore the tooth storage media is needed to maintain the vitality of PDL cells. The aim of the present literature review was to discuss the use of coconut water as an alternative storage medium of the avulsed teeth. Coconut water is biologically pure and steril, rich in amino acid, proteins, vitamins and minerals. The electronic composition of coconut water resembles the intracellu-lar fluid. The ability of coconut water to maintain the vitality of PDL cells is due its nutrient component such as protein, amino acid, vitamin and minerals. Previous study showed the ability of coconut water to maintain the viability of PDL cells was comparable to Hank’s balanced salt solution (HBSS), storage media that is recommended by the American As-sociation of Endodontics. In conclusion, coconut water is an effective storage medium for avulsed teeth to maintain the vitality of PDL cells. The advantages of the use of coconut water are economical and easily obtained, and therefore ideal to be recommended as a storage medium for avulsed teeth. DOI: 10.14693/jdi.v17i3.39

Highlights

The main concern prior to tooth replantation is to maintain the vitality of periodontal ligament (PDL) cells
The vitality of PDL cells is crucial to form new periodontal ligament tissue to support the teeth in order to achieve the success of replantation treatment
The ability of coconut water to maintain the vitality of PDL cells is due its nutrient component such as protein, amino acid, vitamin and minerals

Summary

Introduction

Penelitian sebelumnya menunjukkan bahwa jumlah sel ligamen periodontal masih dapat bertahan hidup dalam waktu 2 jam setelah terjadinya terpapar diluar soket gigi.[2] Namun, pada kondisi adanya luka medis yang berat atau tidak tersedianya klinik gigi terdekat dapat menyebabkan keterlambatan penanaman kembali gigi avulsi, sehingga dibutuhkan media penyimpanan untuk menjaga vitalitas sel ligamen periodontal sebelum dilakukan penanaman gigi kembali pada soket gigi. American Academy of Pediatric Dentistry merekomendasikan Hank’s balanced salt solution (HBSS) sebagai pilihan media penyimpanan terbaik untuk gigi avulsi, karena bersifat biokompatibel terhadap sel ligamen periodontal dan memiliki pH seimbang.[3,4] Namun, HBBS tidak tersedia secara umum di Indonesia.

Results

Conclusion