Traumatic dental injuries occur most commonly in children and adults and causes be fall, accidents, sports injuries etc. Tooth avulsion comprises around 1–16% of these injuries. It is one of the rare emergencies in dentistry. The success of treatment depends on the extra oral time period and viability of periodontal ligament. The storage medium for the avulsed tooth is a important factor affecting prognosis of the tooth. Proper diagnosis of the avulsed tooth and treatment planning helps in a favorable outcome. This article reviews tooth avulsion as an emergency, the various storage media available and the guidelines for management of avulsed tooth in the dental office.