Company History
Q. How long has the Save-A-Tooth® System been on the market?
A. The Save-A-Tooth® System has been on the market since 1988.
Q. Who developed/invented the Save-A-Tooth® System?
A. The Save-A-Tooth® System was invented in 1987 by Dr. Paul Krasner, DDS. Paul is an endodontist with a private practice as well as a professor at Temple University, School of Dentistry.
What is it?
Why use it?
How does it work?
Who is it for?
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Frequently Answered Questions
Medical
Q. What is the difference between an avulsed tooth and a chipped tooth?
A. An avulsed or knocked-out tooth is totally removed from its socket, root and all. A chipped tooth is a broken tooth where some of the tooth remains in the socket while the remainder is broken off.
Q. If I knock out a tooth can I push it back in myself?
A. Yes, an avulsed tooth can be pushed back into its socket immediately. In fact, if done within 30 minutes of avulsion this is the best treatment with the highest rate of success. The success rate will be significantly higher if the tooth is soaked in the Save-A-Tooth system for one minute prior to reimplantation.
However, immediate re-implantation is often not possible for a variety of reasons:
•The patient can be scared, panicked, or not willing to cooperate.
•The patient may suffer from more serious injuries that need immediate medical attention.
•The first aid provider at the scene may not have the confidence or the ability to reimplant the tooth.
•Given that there is blood involved with this injury, many people are unwilling and/or afraid of diseases.
Q. If I push the tooth back in myself, do I still have to see a dentist?
A. Yes, You should make an appointment for one week after you push the tooth back in to make sure the tooth has not been rejected.
Q. How quickly does a knocked out tooth begin to die?
A. When a tooth is knocked out, the ligament that holds the tooth in its socket (or PDL) is torn in half. The PDL cells that remain on the tooth root begin to die within 15 minutes of avulsion. After 30 minutes, success following re-implantation diminishes rapidly. These PDL cells die quickly because they are cut off from their blood supply.
Q. If a tooth cannot be reimplanted within 30 minutes what is the key to successful reimplantation?
A. If teeth are not stored in a protective medium within 30 minutes, the tooth needs to be either reimplanted immediately or stored in a medium that will revitalize the tooth such as HBSS or Viaspan. Successful reimplantation after 30 minutes goes down to 50% or less without a revitalizing medium
Preserving the vitality of the PDL cells is critical. The tooth must be stored in an environment that is physiologically compatible with the cells. This means having the correct pH, osmolality (fluid pressure), and nutrients. Studies show that when a Save-A-Tooth® kit is used, up to 91% of knocked-out teeth were successfully re-implanted.
Q. Some dentists recommend milk. Why is this incorrect?
A. Milk has never been scientifically or clinically proven on humans to work. Research has shown that milk will keep teeth alive for about an hour before it begins to harm the tooth. Sour milk and powdered milk will also kill teeth. No form of milk will re-grow cells. Having refrigerated milk on hand all the time is costly and ineffective compared with the cost of a tooth saving kit like Save-A-Tooth® . A carton of milk is also an inappropriate container for carrying teeth as there is no way to get the teeth out without damaging the tooth. Thirty years ago, milk was considered an acceptable storage medium but thanks to better technology and research the new gold standard medium for saving teeth is Hanks Balanced Salt Solution or HBSS. To date, Save-A-Tooth® is the only tooth saving kit in the world containing this breakthrough solution.
Technical
Q. A Save-A-Tooth® Kit can provide successful re-implantation of avulsed teeth, but what about chipped teeth?
A. Save-A-Tooth® System will help maintain the color of the chip (prevent browning of the chip) and prevent the tooth chip from becoming brittle thus enhancing the possibility of the tooth chip being re-attached with good aesthetic results. However, further clinical work is needed to support this claim. Therefore, we do not at this point make the claim that Save-A-Tooth® System can save chipped teeth. Clinical studies have shown that hanks balanced salt solution does regrow and protect cells on the root of the tooth.
Q. What roles do an endodontist, a periodontist, and a pediatric dentist have when teeth are knocked out?
A. In most cases an avulsed tooth will need root canal surgery performed one week after re-implantation. This treatment is performed by an endodontist. A periodontist, a dentist who specializes in treatment of gum disease, is not usually involved. A pediatric dentist specializes in dentistry for children. Any dentist can perform the actual re-implantation of an avulsed tooth.
Q. What types of storage mediums are currently being used to store avulsed teeth?
A. No scientific system existed prior to the development of the Save-A-Tooth® System. Teeth are currently being stored and transported in: tissue paper (or simply dry), tap water, saliva, saline, milk, Save-A-Tooth® System.
Save-A-Tooth® System has the most favorable medium and provides an ideal transport container as well. Its use can significantly improve the chances of re-implantation success. Save-A-Tooth® System helps keep a tooth alive and protected for up to 24 hours until a dentist can re-implant the tooth. The other storage media listed above are not ideal and can be damaging to the tooth.
Q. What is in the solution inside the Save-A-Tooth® System and why is it better than the other storage mediums?
A.The storage fluid in the Save-A-Tooth® System is a pH balanced cell culture fluid that is the type used in genetic engineering to grow cells in the laboratory. Tests indicate that the PDL cells stored in Save-A-Tooth® System maintain their viability longer and that depleted cells can be rejuvenated if the tooth is soaked in Save-A-Tooth® System for 30 minutes or more.
Q. Can the Save-A-Tooth® System be used to hold multiple teeth?
A.Yes, up to eight teeth from the same person only.
Q. Can I reuse Save-A-Tooth®?
A.No. Never attempt to re-use a Save-A-Tooth® , even if a tooth has never been inside. Once the seal has been broken, a system is considered used.
Storage and Maintenance
Q. Does it matter where I store Save-A-Tooth®?
A. Save-A-Tooth® can be stored anywhere. It has no special storage requirements.
Q. Does Save-A-Tooth® have a shelf life?
A. Yes. The shelf life is two years. There is an expiration date printed on the bottom of the box and the bottom of the system.
Q. I removed the sterile seal accidentally, can the system still be stored?
A. No. If the sterile seal is removed or damaged in any way, the Save-A-Tooth® will be unusable in twenty-four hours. If you received a Save-A-Tooth® with a broken or defective seal, return it and we will give you a new system at no cost to you.
Q. Where is the best place to keep a Save-A-Tooth®?
A. Save-A-Tooth® can be stored anywhere. If you only buy one system, we suggest putting it in the glove compartment of your car as it is easily accessible from the home or on the road.
Accreditation
Q. What clinical data can we use to support the Save-A-Tooth® System success claims?
A. There are many scientific articles that have been published that support the Save-A-Tooth® System claims. These article can be provided upon request.
Q. Have any states, or schools mandated the use of Save-A-Tooth® System for use in first aid kits, sporting events, day care centers?
A.Yes, in the State of Ohio Save-A-Tooth® is mandated the Department of Job and Family Services (ODJFS). The Redwoods Group Insurance Company has also endorsed Save-A-Tooth®, highly recommending Save-A-Tooth® to the YMCAs that they insure. Additionally, several hundred schools, many professional sports teams, the US Olympic teams, and many ambulances use Save-A-Tooth®.
Q. How long have you had ADA (American Dental Association) approval?
A. We have been ADA approved for seventeen years.
Customer Service
Q. What are the case configurations?
A.One case has 24 units. We can fill any quantity desired, whether it be one or a thousand units.
Q. Do you ship internationally?
A.Yes! We can ship anywhere in the world via Fed-Ex. However, additional shipping charges apply when shipping outside the continental United States.
Q. How long does it take to ship domestically?
A.All of our domestic shipments go through USPS. First class shipping can take anywhere from 5-10 days. Priority shipping takes 3 days. Express shipping takes 1-2 days.
Q. How long does it take to ship internationally?
A. All of our international shipments go through the United States Postal Service (USPS). First class shipping can take anywhere from 2-6 weeks. Priority shipping takes 6-10 days. Express shipping takes 5 days or less.
Q. Do you offer tracking on all packages?
A. No. tracking is limited to priority and express shipping.
Q. Do you offer customer service in languages other than English.
A. Yes. we offer customer service in any language via email on our contact page. However, phone service is limited to English only.
Q. Can distributors outside the United States get discounts?
A. Yes. Customers outside the United States can call 1-888-788-6684 in English or send an inquiry in the language of your choice via email, through our contact page.
Q. Do you accept international credit cards?
A.Yes! We accept cards from any country or bank account through PayPal. We also accept domestic U.S. cards over the phone.
Q. When I got my system, it had less than sixteen months left on it. Am I entitled to an exchange?
A.Yes. Just send the system back and we will send out a new system and refund the cost of shipping.
Q. How long does it take to fulfill an order?
A.Orders are usually fulfilled within three business days.
Q. What shipping methods do you use?
A.Orders of three or less are shipped via USPS. Orders that are more than three, international or special request ship via UPS.
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