Emergency Medical Technician (EMT) Intermediate Practice Exam

What should be done with dislodged teeth in a trauma patient?

1. Leave them in place

2. Attempt to reinsert them immediately

3. Store them in saline or milk if possible

4. Remove them and leave them at the scene

The correct answer is: Store them in saline or milk if possible

When dealing with dislodged teeth in a trauma patient, it is critical to preserve the viability of the teeth for possible re-implantation. Storing the teeth in saline or milk provides a suitable environment to keep the periodontal ligaments healthy until dental care can be administered. Milk, in particular, is recommended because it has the appropriate osmolality and nutrients that can help protect the root surface. The other options do not offer the best management for dislodged teeth. Leaving the teeth in place could risk further injury, especially if the patient is experiencing significant oral trauma. Attempting to reinsert the teeth immediately might also cause additional harm, especially if done improperly, since there could be blood clots, swelling, or damage to the surrounding tissues. Removing the teeth and leaving them at the scene would mean losing the opportunity for professional dental intervention where the teeth might be salvageable. Storing them properly ensures the best chance for successful reattachment.