Re: Pink book update

[Guest guest]

Saliva is the best medium but in an emergency situation ul hav to put the avulsed tooth in cold milk .

From:

miral_hasan <miral_hasan@...>;

To:

< >;

Subject:

Pink book update

Sent:

Fri, Feb 10, 2012 6:50:19 PM

Dear all ,

A friend has posted that acc to the pink book 4th edition ,Saliva is the best storage medium ,I have the 5th edition n it doesn't mention Saliva at all....it is replaced by Saline

P 108.

I just want everyone who may be using 4th edition this.

Thanks a lot

Miral

[Guest guest]

In such situation a child will never allow u to store his tooth in his mouth. Huma

From:

miral_hasan <miral_hasan@...>;

To:

< >;

Subject:

Pink book update

Sent:

Fri, Feb 10, 2012 6:50:19 PM

Dear all ,

A friend has posted that acc to the pink book 4th edition ,Saliva is the best storage medium ,I have the 5th edition n it doesn't mention Saliva at all....it is replaced by Saline

P 108.

I just want everyone who may be using 4th edition this.

Thanks a lot

Miral

[Guest guest]

Thanks a lot Huma,could you pls tell me your ref.

Here is what I found on Wikipedia!

[edit]Storage media

There are many storage media available for knocked-out tooth storage. The most

often recommended are: water, ice, saliva, physiologic saline, milk, pH balanced

cell preserving fluids, or under an armpit if no milk is available. Water and

ice have been shown to damage the tooth root cells.[15] The osmolality and pH of

water and ice is very low (7-17mOs) compared to normal cell pressure (280 mOs).

When a knocked-out tooth is placed in water, the cells attempt to equalize with

the surrounding environment, the cell fluid tries to move to the outside

pressure environment and burst. Water with table salt in it is damaging to the

knocked out teeth.

Saliva, that is placing the tooth under the accident victim's tongue or in the

cheek, has been recommended. Saliva, as a storage media, causes twice damage as

water. Its osmolality is very low, causing bursting of the tooth root cells, but

additionally, because saliva is filled with its normal flora of microorganisms,

it will severely infect the tooth root cells. When the tooth is replanted, not

only will the cells be necrotic but they will also infect the bone socket.[2]

Physiologic saline has a fairly compatible osmolality and will not cause cell

structure swelling but it lacks the metabolites and glucose necessary for

maintenance of normal cell metabolism.[15]

Milk has been also recommended as a storage medium for avulsed teeth.[15] Its

advantage is the high availability of cold fresh milk.

[Guest guest]

odell..!! but i have read this in many other books when i was preparing for part 1....so when ever i will get an mcq of an avulsed tooth of a child ..i will always mark milk...because in clinical scenarios u dont have to mark what s written in text book(if anyone saying saliva is the preferred choice written in books).u have to mark wht is feasible in that particular situation!!regardshuma

[Guest guest]

Thanks a lot for your reply but in the pink book Saliva is not an option and the best is Saline then milk .So the first is saline.thanks againMiralSent from my iPadOn 10 Feb 2012, at 22:46, Huma Faisal <humafaisal8278@...> wrote:

odell..!! but i have read this in many other books when i was preparing for part 1....so when ever i will get an mcq of an avulsed tooth of a child ..i will always mark milk...because in clinical scenarios u dont have to mark what s written in text book(if anyone saying saliva is the preferred choice written in books).u have to mark wht is feasible in that particular situation!!regardshuma