If a patient provided history that a tooth has been avulsed and it can be determined that the injury is without other oral. neurologic, or higher-priority physical complications. it is best to replace it in the socket immediately and to hold it in place with light finger pressure. If the avulsion occurred in a clean environment, nothing should be done to the tooth before replants it. If the tooth is dirty, an attempt should be made to clean the root surface, but it is very important to preserve any remnants of the periodontal ligament that are still attached to the root. 'therefore the parent would then be instructed to keep the tooth immersed in a suitable storage medium and bring the child and the tooth for immediate care. The patient should receive immediate attention after arriving at the dental office; and if it seems any contamination than it should be rinse thoroughly with saline only do not attempt to scrub tooth by any means to prevent vitality of periodontal fibers and re-implant it in socket. If patient or parent cannot or will not replant it than procedure to maintain vitality of tooth Allowing the avulsed tooth to dehydrate before replantation is damaging to a favourable prognosis. Hanks buffered saline, isotonic saline, and pasteurized bovine milk may be the most favourable known storage media. If none of these solutions is readily available, human saliva is acceptable short-term substitute storage liquid. Presumably, the patient's saliva (and perhaps blood) would be readily available. Although tap water has been a commonly recommended storage solution (and its use would be preferable to allowing dehydration of the tooth), saliva is a better storage medium. Neither water nor saliva is as good as milk or saline, if the tooth must be stored for a long period (more than 30 minutes before replantation). Because water is hypotonic, its use leads to rapid cell lysis and increased inflammation on replantation.