Pediatric Dentistry · single question

What is the BEST storage medium for an avulsed tooth?

  1. Milk
  2. Tap water
  3. Saliva (buccal vestibule)
  4. Dry storage
  5. HBSS (Hank's Balanced Salt Solution)
Show answer and explanation

Correct answer: E. HBSS (Hank's Balanced Salt Solution)

✓ E) HBSS (Hank's Balanced Salt Solution) is the BEST storage medium.
Storage media ranked best to worst for maintaining PDL cell viability: (1) HBSS — designed to maintain cell physiology, osmolality and pH ideal; (2) Milk — readily available, pH ~6.8, iso-osmotic, low bacterial contamination; (3) Saline; (4) Saliva/buccal vestibule; (5) Tap water — hypotonic, damages PDL cells; (6) Dry storage — worst, PDL cells die within minutes.
✗ Milk is correct when HBSS is not available (common exam scenario). NEVER dry storage or tap water.

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