A 4‐year follow‐up case of extrusive luxation in a patient with cerebral palsy

Abstract

Cerebral palsy (CP) is a condition caused by brain damage before, during, or shortly after birth. Communication can be a challenge when treating patients with CP. Some patients can communicate verbally, while others use augmentative alternative communication tools or have individualized means of communication. Therefore, professional dental treatment in individuals with CP is challenging, especially if the patient is affected by dental trauma and requires emergency treatment. This report shows how individualized communication skills assessment allowed us to successfully manage a 9‐year‐old patient with CP, who suffered extrusive luxation of the permanent lower incisor. In the present case, the teeth were repositioned briefly after the trauma had occurred and then stabilized with a flexible splint according to international guidelines. The teeth remained vital and periodontal repair was observed during the 4‐year follow‐up.

Use of Orthodontic Methods in the Treatment of Dental Luxations: A Scoping Review

“…This reflects what is found in the literature, in which the rate of PN after PCO ranges from 1 to 27%, and it is, indeed, considered a very rare occurrence [59]. The onset of PN in teeth already diagnosed with PCO may be linked to disruption of the Of the 72 teeth showing extrusive luxation [26,[53][54][55], 58 showed pulp responses after the trauma: 30/72 showed PCO (25 with OA and 5 with CA), while PN was diagnosed in 28/72 teeth (14 with OA and 14 with CA) [ Table 4].…”

“…Similarly, not all the studies took into consideration cases of PN developing after a diagnosis of PCO. In those that did explore this aspect, this event was found to be very rare: 2/55 teeth in Lee [53]; and absent in the reports by Spinas [26], Ramirez [54], Cehreli [55] and Nikoui [30]. This reflects what is found in the literature, in which the rate of PN after PCO ranges from 1 to 27%, and it is, indeed, considered a very rare occurrence [59].…”

Traumatismo Dentoalveolar en Personas con Parálisis Cerebral. Revisión Sistemática y Metaanálisis

“…Múltiples casos clínicos se han publicado reportando diferentes TDA en pacientes con PC, los cuales presentan causas o presentación clínica poco común que se relacionan a la condición del paciente. Entre ellos, múltiples luxaciones extrusivas en incisivos inferiores producto de un espasmo muscular al momento de tener un objeto duro en boca (Véliz Ramírez et al, 2019), la ingestión de un diente Fig. 2.…”