Abstract Traumatic dental injuries occur very frequently in children and adults due to various etiological factors such as falling, accident, sports injuries etc .It is one of the few emergencies in dentistry. The success of treatment depends on the viability of the periodontal ligament cell and its root surface of the tooth. Effective treatment percentage decrease along with the exposure of the teeth extra orally. The storage medium of the avulsed tooth play a prime factor affecting the prognosis . Proper diagnosis and treatment planning is a must for a favourable result of the treatment