Teeth that are avulsed in the operating room either during intubation, extubation, or other orally related procedures must be treated immediately in order to provide the best opportunity for success following replantation. New treatment methods have been developed that can significantly increase the success of replanted avulsed teeth. These methods utilize special pH balanced reconstituting fluids, cushioning devices, topical fluorides, and antibiotics that permit the storage of avulsed teeth for up to 96 hours with good success following replantation. This Journal course reviews the biologic background for these procedures and makes specific treatment recommendations.

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