Tooth replantation is the reinsertion of a tooth that has been avulsed (knocked or torn out) of its socket. Teeth are replanted to prevent permanent tooth loss and to restore the health of the mouth so that the patient can speak and eat normally. Prof. Hendricks specialises in the transplantation of third molars, premolars and canine teeth.

Preparing for tooth replantation

When a tooth is dislodged, it is vital to recover the tooth and preserve it under proper conditions. The knocked out or loose tooth can be placed in milk to preserve it. The tooth should be handled carefully- it should be picked up by its crown, not by its root. The tooth should be kept moist and rinsed, but not brushed or cleaned.

The patient should go with the tooth to a dentist or maxillofacial surgeon as soon as possible after the accident. Rapid treatment time improves the chances for successful replantation.

Tooth reimplantation procedure

First, Prof. Hendricks will examine gums and the loose tooth to determine whether the tooth can be replanted. Next, he will take x-rays to determine the extent of the damage.

If you have an injury to the gum, Prof. Hendricks will treat this first before replanting the tooth. He may give you an antibiotic to decrease the risk of infection or cold compresses to minimise swelling. Stitches may also be needed if the gum is cut or lacerated.

To replant the tooth, Prof. Hendricks will first administer a local anaesthetic to numb the gums. He will then reinsert the loose tooth in its socket and anchor it in the mouth by installing a splint made of composite resin and wire. Prof. Hendricks may remove the root canal nerve of the tooth and replace it with a plastic material before inserting the tooth. The splint keeps the tooth in place for up to six weeks. During that time, the splint can be removed and the tooth examined for stability.

Aftercare

After surgery, you may be given aspirin or acetaminophen for the pain. Antibiotics may also be given to prevent infection. For 24 hours after surgery, you should avoid rinsing the mouth, spitting, or smoking. You should limit food to a soft diet for a few days after surgery.

24 hours after surgery, you should rinse the mouth gently with a salt and lukewarm water solution every one to two hours.

Patients with replanted teeth should have regular dental checkups, so the surgeon can fully evaluate the outcome of treatment.