Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.5
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2017, vol. 54, nr 2, April-June, p. 213–216

doi: 10.17219/dmp/70501

Publication type: clinical case

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Management of dental avulsion in a child with severe intellectual disability: Case report

Postępowanie w przypadku całkowitego zwichnięcia zęba u dziecka z ciężkim niedorozwojem umysłowym – opis przypadku

Ashwin Rao1,D,E, Vignesh Palanisamy1,B,D,E, Arathi Rao1,D,E,F

1 Department of Pedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Manipal University, Mangalore, India

Abstract

The protocol for the management of dental avulsion is based on many factors including management of the emergency at the accident site, extraoral dry time, the transport medium for the avulsed tooth, the root development of the avulsed tooth, etc. The management can also vary depending on the mental maturation and ability of the child to cooperate. This is especially true if the child involved with the avulsion is a differently-abled child with severe mental retardation. Dental emergencies among children with special health care needs are very common and standard protocols for management may have to be modified when dealing with these children. The following is a case report of the management of avulsion of bilateral permanent central incisors in a differently-abled child with severe mental retardation under general anesthesia. Emphasis is also placed on the post-operative management, which involved the chairside removal of the splint using intravenous sedation.

Key words

intellectual disability, tooth, avulsion

Słowa kluczowe

upośledzenie umysłowe, ząb, zwichnięcie

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