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  • May, ask ma’am to fill up the dental form, I'll just take Tyler in the x ray room 
  • Ok Doc
  • Ma’am pls fill up this form and answer the dental and medical questions about Tyler for clinical records.
  • alright.
  • thanks. Doc and Tyler will be right back
  • 
  • OK Doc I understand. we will be here for follow up.
  • Ma’am based on his radiograph there are no bone fractures which is a good indication that we can replant his avulsed tooth. it is a good thing that the school nurse soaked it in NSS that can preserve the vitality of PDL . Because of the used storage medium the PDL cell may be viable but compromised.
  • The best management of avulsion is replantation of tooth immediately but this is a long term treatment because we need to monitor the growth of the tooth and your compliance during follow up is a must.
  •  While the Dentist and her assistance are preparing the needed materials for administering anesthesia such as dental syringe, needle and cartridge of Mepivacaine.
  • Don't be scared Tyler, I'll stay with you.
  • Mom, I'm scared.
  • this wont hurt Tyler. look its a cotton swab with topical anesthesia which taste like strawberry.
  • I will put anesthesia so that you won't feel any pain throughout the procedure.
  • 
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