“…In cases where prolonged extra oral time is unavoidable, the tooth should be maintained in a suitable media, such as milk, Viaspan, Hanks balanced salt solution (HBSS), saline or individual saliva, contact lens solution, Save-a-tooth (Phoenix-Lazerus Inc., Shartlesville PA, USA), and EMT Tooth saver (SmartPractice.com, Phoenix, AZ, USA) until it is replanted by a pediatric dentist or General dentist. [28][29][30] The preferred storage medium recommended by The American Association of Endodontists is Hanks balanced salt solution (HBSS), because of its ability to preserve the vitality of periodontal ligament (PDL) cells for a longer duration. 31 HBSS preserves the vitality of fibroblast cells for 72 h, but is not commonly available in MI rooms.…”