Emergency management of dental trauma in children's dental avulsion cases

Penatalaksanaan kegawatdaruratan trauma gigi pada kasus avulsi gigi anak

  • Jeffrey Bagian Ilmu Kedokteran Gigi Anak, Universitas Jenderal Achmad Yani Cimahi, Indonesia
  • Florence Meliawaty Bagian Bedah Mulut dan Maksilofasial, Universitas Jenderal Achmad Yani Cimahi, Indonesia
  • Frita F.S. Djohan Bagian Periodonsia Universitas Jenderal Achmad Yani, Cimahi, Indonesia
Keywords: tooth avulsion, emergencies, periodontal ligament, morbidity, prognosis


Dental trauma is one of the most common dental emergencies. The etiology of primary tooth avulsion is usually the result of a complex object hitting the tooth. Correct and prompt emergency management is critical to the prognosis. Avulsion can cause severance of the periodontal ligament and nerve vascular disorders, with consequent loss of blood supply to the tooth, which can lead to pulpal necrosis. The success of treatment depends on the survival of the periodontal ligament cells attached to the tooth root surface. This can be done by reimplanting the avulsed tooth or by storing it in an appropriate storage/transport medium until the tooth is reimplanted into its socket. It is concluded that cases of avulsion have psychological, aesthetic, and functional consequences and the prognosis is related to periodontal membrane injury. The level of individual knowledge through targeted educational programs needs to be increased related to the emergency management of tooth avulsion.