When is it too late to replant an avulsed tooth? (Free Event)

ADAWA Members only

Ideally, avulsed teeth should be replanted as soon as possible. However, this does not usually happen as the general public are often reluctant to replant the tooth, they don’t know how to replant it, they are afraid of hurting the victim of the accident, or they don’t know that it should be replanted. Hence, delayed replantation when the victim finally sees a dentist is a common occurrence. The delay may be relatively short (e.g. 30-60 minutes), or it can be quite extended (e.g. more than 60 minutes, several hours, or even days). Dentists may also be uncertain about replanting a tooth after a lengthy delay. Some of the uncertainties include: should they replant it or not? If they do replant, should they do anything to the tooth prior to replantation? How long after avulsion can you replant a tooth? What should be done once the tooth is replanted? Should root canal treatment be started? What type of splint should be used? What to do in the medium and long term? What are the potential outcomes? These questions will be explored and advice provided.

Paul Abbott is Emeritus Professor of Dentistry at The University of Western Australia. He is a Specialist Endodontist with over 45 years of clinical practice experience. Prior to taking a full-time University position in 2002, he spent 17 years in private specialist endodontic practice and he also held part-time academic positions at The University of Western Australia and the University of Melbourne. He was Dean and Head of the School of Dentistry at The University of Western Australia and Director of the Oral Health Centre of Western Australia from 2003-2009. He has presented over 1700 lectures and courses in 54 countries. He has over 430 publications with 270 articles in refereed journals, 25 textbook chapters and 50 Newsletter articles. From 2015-2022, he was the Editor-in-Chief of the international journal Dental Traumatology. He has won numerous awards for his teaching, research and service to the dental profession, including the Jens O. Andreasen Award for Lifetime Achievement in Dental Traumatology from the International Association of Dental Traumatology (2024) and the Louis I. Grossman Award (2025) from the American Association of Endodontists for cumulative publications of significant research studies that have made an extraordinary contribution to endodontology. Prof. Abbott was also appointed by the Governor-General of Australia as an Officer of the Order of Australia in 2015.