Dental and Medical Problems

Dent Med Probl
Impact Factor (IF 2023) – 2.7
Journal Citation Indicator (JCI 2023) - 1.06
Scopus CiteScore (2023) – 4.0 (CiteScore Tracker – 4.9)
Index Copernicus (ICV 2023) – 181.00
MNiSW – 70 pts
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – bimonthly


 

Download original text (EN)

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

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

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

References (10)

  1. McDonald RE, Avery DR, Dean JA. Dentistry for child and adolescent. Elsevier, New Delhi, 2009, 8th ed., 485–488.
  2. Voytus ML. Evaluation, scheduling and management of dental care under general anesthesia for special needs patients. Dent Clin North Am. 2009;53:243–254.
  3. Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association, 1994, 4th ed. (DSM-IV).
  4. Andersson L, Andreasen JO, Day P, et al. International Association of Dental Traumatology. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012;8:88–96.
  5. Kahler B, Hu JY, Marriot-Smith CS, Heithersay GS. Splinting of teeth following trauma: A review and a new splinting recommendation. Aust Dent J. 2016;61:(1 Suppl)59–73.
  6. Ferreira MC, Guare RO, Prokopowitsch I, Santos MT. Prevalence of dental trauma in individuals with special needs. Dent Traumatol. 2011;27:113–116.
  7. Priya HM, Pavan BT, Naidu J. Pulp and periodontal regeneration of an avulsed permanent mature incisor using platelet-rich plasma after delayed replantation: A 12-month clinical case study. J Endod. 2016;42:66–71.
  8. Andreasen JO, Andreasen FM, Andersson L. Textbook and Colour Atlas of Traumatic Injuries of the Teeth. Blackwell, Munksgaard 2007, 4th ed., 461.
  9. Sugerman PB, Barber MT. Patient selection for endosseous dental implants: Oral and systemic considerations. Int J Oral Maxillofacial Implants. 2002;17:191–201.
  10. Romero-Pérez MJ, Mang-de la Rosa Mdel R, López-Jimenez J, Fernández-Feijoo J, Cutando-Soriano A. Implants in disabled patients: A review and update. Med Oral Patol Oral Cir Bucal. 2014;19:e478–482.
© Wroclaw Medical University