Multidisciplinary treatment options for tooth avulsion

Avulsion of permanent teeth is the most serious of all typesof traumatic tooth injuries because the complete dislodgement of the tooth from its socket causes severe damage to the supporting tissues, vascular and nerve structures and pose a major public dental health problem [1-7]. Reported incidence of dental avulsion is 1-11% of all dental injuries to the permanent dentition, with the maxillary central incisor being the most frequently involved tooth. The age group of 7-10 years appears to be most affected. The prevalence in permanent dentition is around 33% for adults and 25% for children [1-12]. The treatment is to reimplant the avulsed tooth immediately but this is not possible in most cases considering other existing life threatening injuries, patient's emotional condition and simply lack of knowledge bout the reimplanting procedures. The lack of first aid knowledge about the avulsion among the public and health care centres delays immediate replantation and limits the prognosis of the avulsed tooth [3,14]. For a good prognosis the extra oral dry time to which the avulsed tooth is exposed and the clonicity and progenicity of the viable PDL cells has to be maintained. This  presentatation  reviews tooth avulsion as an emergency, the various storage media available and the guidelines for management of avulsed tooth in the dental office . [1-24].

References:

1.Abu-Hussein Muhamad; HOW MEDICATIONS AFFECT ORTHODONTIC TOOTH MOVEMENT, Conference: 4th International Summit on Toxicology and Applied Pharmacology, At: taking place from March 09-11, 2026, in London, UK.

2. Abu-Hussein M ., Watted N ., and Abdul gani A .;Replantation of Avulsed Per manent Anter ior Teeth: ACase Repor t, RRJDS2014, Vol 2 ( 4} ,43-52

3, Muhamad AH, Azzal deen A (2012) Autotr ansplant at ionof Tooth in Childr en wit h Mixed Dentiti on. Dentistr y2:149

4. bu-Hussei n M. , Wat ted N . ,Abdulgani M ., Abdul ganiAz .; Tooth Autotr ansplant ati on; Cli ni cal ConceptsJour nal of Dental and Medi cal Sciences2016, Vol 15 (7)105-113
(PDF) Dental Avulsion- Immediate Replantation: 8- Year Follow UP Case.  

5.  Muhamad AH, Azzal deen A. Aut otr anspl ant ation oftooth i n mixed dent ition- A r eview. Int. J. Dent.Cl ini cs.2013;5( 1):20-23

6. Abu-Hussein M ,1, Nezar W. , Azzal deen A. , Abdul ganiM.; Pr evalence of Tr aumati c Dental I njur y i n Ar ab Isr aeliCommuni ty, Jour nal of Dental and Medical Sciences2016,15 (7) , 91-98
 7. Abu-Hussein M, , Abdul gani Azzaldeen; Intenti onalr epl antati on of maxillar y second molar ; case r epor t and15-year follow-up. Jour nal of Dental and MedicalSciences. 2016; 15, 1 :67-73.
 

 8. Abu-Hussein M, Nezar W, Azzaldeen A. Traumatic dental injuries to permanent anterior teeth, relation with age and gender among 9-12 years schoolchildren of Arab Israeli community: An epidemiological study. Int J Public Health Res 2016.

9. Abu-Hussein Muhamad, et al. Anterior Esthetic Restorations Using Direct Composite Restoration; a Case Report. Dentistry & Dent Pract J 2019, 2(1): 180008.

10. Abu-Hussein Muhamad et al.(2019), Restoring Fractured Anterior Tooth Using Direct Composite Restoration: A Case Report. Global Journal of Dental Sciences1:1

11. .Abdulgani Azzaldeen, Abdulgani Mai, Abu-Hussein Muhamad (2017) Fractured Anterior Tooth Using Direct Composite Restoration: A Case Report. IOSR Journal of Dental and Medical Sciences 16(10): 61-65

12. Abdulgani Azzaldeen*,Alsaghee Maria **,Abu-Hussein Muhamad***, “Aesthetic Management of Fractured Anteriors: A Case Report”. American Research Journal of Dentistry, Volume 3, Issue No. 1, 2021, pp. 1-6

13.Omar Sadiq, Rand Ghoul , Nidal Ghannam and Abu-Hussein Muhamad, (2025 Effect Of Hormone on Orthodontic Tooth Movement: A Review. Journal of Neonatal Surgery, 14 (22s), 189-201.

14.Watted Nezar. “Influence of drugs on orthodontic tooth move ment”. Journal of Research in Medical and Dental Science 2 (2021): 1-8

15.Abu-Hussein M. “INTERNATIONAL CONFERENCE ON CLINI CAL DENTAL PHARMACOLOGY (ICOCDP -24) [The Effect of Drugs, Hormones, on Orthodontic Tooth Movement Confer ence Paper (2012).

16.Omar Sadiq, Malik Taradeh, Nidal Ghannam, Nikolaos Kolomvos, Abu-Hussein Muhamad (2024) Online Education/ Technostress Impacts on Emotional Wellbeing of University Students. Library Progress International, 44(3) 28737-28757

17.Abdulgani M. , Qawasmeh N. ,Abdulgani Azz. , Abu-Hussein M .; Reattachment of Fractured Tooth Segment in Minimally Invasive Way - A Case Report,  Journal of Medical and Dental Science Research Volume 11~ Issue 8 (2024) pp: 24-30

18.Abu-Hussein M, Abdulgani Az, Ziyad M., Watted N(2016); Autogenous Tooth Fragment Reattachment; A 12 -YearsFollow-Up. Journal of Dental and Medical Sciences, Vol 15, Issue 4, 85-90

19.Abu-Hussein M., Watted N., Abdulgani A, Abu-Shilabayeh H(2015) ;Anterior Dental Esthetics in Primary Teeth.International Journal of Public Health Research. , Vol. 3, No. 1, pp. 25-36

20.Abu-Hussein M, Abdulgani Az, Ziyad M., Watted N (2016).; Autogenous Tooth Fragment Reattachment ; A 12 -Years Follow-Up. Journal of Dental and Medical Sciences, Vol 15, Issue 4, 85-90.

21. Muhamad Abu-Hussein1, Nezar Watted 2, Azzaldeen Abdulgani(2015);Gummy Smile and Optimization of Dentofacial EstheticsJournalof Dental and MedicaSciencel , 14, 4 ,24-28DOI: 10.9790/0853-14462428

22.Muhamad Abu-Hussein(2024) ;Midline Diastema Closure in a Single Visit: Case Repot. Dentistry & Dent Pract J , 6(1): 180052.

23. Muhamad A, Shilbayih HA (2023); Minimally Invasive Approaches of Median Diastema with Putty MatrixTechnique; A Case Report. J Res Med Dent Sci 11(5): 22-26.

24.Abu-Hussein Muhamad, Watted Nezar, Abdulgani Azzaldeen. (2015);The Curve of Dental Arch in Normal Occlusion.Open Science Journal of Clinical Medicine 3, 2, 47-54.

Dr.  ABU-HUSSIN M. has given courses and conferences in Spain, Portugal, France, Italy, Egypt,Germany,Croatia,Serbia, Azerbaijan,Hungary,Ireland, Russia, China, England, Austria, Israel, Romania , Mexico,  Brasil, India, Turkey, Dubai(U.A.E.), and USA, and has received  awards for his  work in International Conferences.   He has been involved in several research programs and has more than 375 publications in Greek and International Dental Journals and has co-authored a textbook for dental treatment of cancer patients.  He has received several awards from the International Association of Pediatric Dentistry including the Beng Magnuson Award for best research paper and two Bright Smile Bright Future Awards. He has lectured as an invited speaker and participated in more than 280 oral presentations in Greek and International Meetings and has taught in many continuous education courses.  He is a member of various International Scientific Societies and Associations. Research interests: Orthodontic Treatment, Dental Trauma Management, Genetics and prevalence of enamel defects, Minimally invasive biological caries management techniques, CLEFT LIP AND CLEFT PALATE, Special care in dentistry.  He is a member of the editorial board and peer reviewer of many reputed health journals and is actively involved in research activities. Dr.  ABU-HUSSIN has numerous scientific publications in Scopus and Pubmed indexed journals and has received many awards for paper and poster presentation globally.