Avulsed 11, Reimplantation, Subsequent Orthodontic Treatment: A Case Report and Literature Review of Child with Epilepsy

Background: A case report of avulsion of a right central incisor in 9-year-old child is presented. Avulsion is a serious dental injury that requires emergency treatment. Timely and correct emergency care is of particular importance for the prognosis. In this case, it refers to a permanent tooth completely knocked out of the alveolus. Traumatic dental injuries are most often the result of direct impact and in 90% of cases affect the incisors and/or canines. This is a particular problem when it comes to the permanent dentition in children. Child trauma is not a rare phenomenon, which also determines the existence of the International Association of Dental Traumatology (IADT). The clinical protocol and the quick reaction of the parents are some of the reasons for the successful treatment and follow-up of a case two years after injury. On our recommendation, the tooth is placed in fresh milk until the child arrives at the clinic. The time from avulsion to splinting is 5 hours as the patient is traveling from a remote location. The special thing in this case is that the child suffers from epilepsy, which was not reported by the parents during the interview and taking the anamnesis data. Aim: The aim of the study is to present a clinical protocol and multidisciplinary management of a case with avulsed 11 and its reimplantation of child with epilepsy. Methods: The socio-medical aspect of treatment includes rehabilitation and prevention after a functional and aesthetic solution to the problem. Endodontic and orthodontic treatment was performed. Results: The success for the reimplantation of avulsed 11 can vary depending on several different factors, including the patient’s overall health, hygiene, habits and cooperation. The child is currently being treated with a Shwartz appliance and is being monitored for ankylosis and inflammatory changes. Conclusion: In order to make a comprehensive assessment of the case, it is worth mentioning that this is the child's first encounter with a dentist in life. The reimplantation is a predictable technique and long-term prognosis is not a problem, associated with a high survival rate worldwide.