Dear Sir/Madam.
On Thursday, 4 August 2011, my son (9 years old) had an accident. During an ill-considered jump into shallow water, both maxillary central incisors were traumatically avulsed (PERMANENT TEETH!!!). Because it was already late in the afternoon and no dentist was working, I took him to the emergency department. He was examined by an ENT specialist. Apart from the loss of both central incisors, all structures were preserved and were not injured. On Friday, 5 August 2011, I took him to the emergency dentist (his personal dentist is on holiday), who established on a panoramic X-ray that the roots were also absent. Given that the child is 9 years old, I kindly ask you for advice or help! The matter is even more serious because September and the continuation of school are approaching!
Is the only option a removable 'frog' appliance? When can we expect implants to be possible?
I kindly ask you for advice!
Respectfully,
Andrej

Dear Sir/Madam!

In the case described, it is best to reimplant the teeth as soon as possible. You can perform reimplantation yourself at the scene; if you cannot do this, the teeth must be stored appropriately until professional help is available. Store them in saline solution, the injured person's saliva, or milk. Do not rinse the teeth with ordinary water and do not clean them with a toothbrush. Keep the bag with the described contents additionally cooled. Seek professional help as quickly as possible. Reimplantations are usually successful if performed within the first six hours after the injury. If the teeth are lost, replacement is necessary. The problem with implants at this age is that implants do not grow together with bone growth and can therefore be 'submerged' in the jawbone after a few years. I would wait another five years before placing implants. For the time being, the best temporary care unfortunately has to be removable prosthetic treatment. Fixation to the neighbouring teeth would inhibit jaw growth.

Have a nice day!