“Medios de almacenamiento para preservar dientes avulsionados manteniendo la viabilidad de las células periodontales. Una revisión sistemática”

Abstract

Dental avulsion in one of the most severe dentoalveolar trauma because its management requires immediate reimplantation to maintain the periodontal ligament and significantly reduce root resorption and ankylosis. The success of the treatment depends mainly on the appropriate storage medium to ensure the viability of the periodontal cells. The present systematic review aimed to identify the most effective medium for storing and transporting avulsed permanent teeth according to the viability of periodontal ligament cells. An electronic search was performed in the scientific databases Scopus, Web of Science, and Pubmed using as keywords “Storage media”; “avulsed teeth”; “periodontal ligament”. Inclusion criteria were in vitro studies, and cell culture studies. Hank's Saline solution and honey were equally effective, maintaining 98.89% and 96.43% viable cells in 3 hours. Ringer's Lactate solution maintains the viability of 906.40 viable cells/mm3 in 1 hour. Propolis maintains 285,000 viable cells/mm3 in 45 minutes. Neem extract retains 88% viable cells in 30 minutes. Hank's Saline solution is the most effective storage medium for maintaining the viability of periodontal cells of avulsed teeth.