COMPLETE KNOCKOUT OF A PERMANENT TOOTH – INTERDISCIPLINARY PROBLEM OR HOW TO HELP SO THAT IT DOES NOT HARM – CASE STUDY

Abstract

In recent years, there has been an increase in the incidence of dental injuries among children and adolescents, which is associated with a change in lifestyle activity, practicing various sports during which there is frequent damage to various parts of the body. At the same time, there is a growing need to know the procedures for proper conduct in providing first aid for dental injuries by people caring for children and adolescents, i.e. teachers, trainers but also medical personnel (doctors, paramedics, school nurses). One of the most serious injuries affecting permanent teeth is the complete knockout of the tooth. Failure to perform immediate tooth replantation within 30 minutes (insertion of the tooth into the socket) may result in premature tooth loss. The International Association of Dental Traumatology (IADT) has devel¬oped guidelines for dealing with dental injuries, in which it recognizes that in the event of tooth extraction, the most important factor for a good prognosis is to perform immediate replantation, and if this is impossible, transport the tooth in an appropriate way and send the patient to the dentist as soon as possible. This article describes the procedure for performing immediate replantation in the case of complete knockout of a permanent tooth and presents a clinical case in which the key to the success of treatment was to perform this procedure by the patient immediately after the injury, after a telephone con¬versation with her mother, who a few days earlier watched a film about such an injury and while remaining calm, ordered her daughter to insert the tooth into the socket. This case demonstrates the need for the necessary broad social education in this area.