Predictability and success in the functional recovery and the aesthetics of late postoperative dental reimplantation smile in a patient with cerebral palsy - case report

Dental avulsion is a dento-alveolar lesion consisting of the total displacement of the tooth from its alveolus. It causes many functional, aesthetic and psychological damages and constitutes a dental emergency. It presents a dubious prognosis, and is still considered a challenge for dental surgeons. Treatment depends on several factors, however, dental reimplantation should be the first-choice therapeutic possibility when possible. This paper reports the case of a patient with moderate cerebral palsy, who in a skateboard accident had his right upper central incisor fully avulsed. Late dental reimplantation was performed, with therapeutic protocol including high- and low-power laser application, drug endodontic therapy and 4-year proservation. It was concluded that late dental reimplantation is a therapeutic possibility that facilitates, is effective and is recommended for avulsed teeth, rescuing the aesthetics, and psychologically replacing the patient in his social life, mainly because he is a patient with special needs, promoting improvements in his quality of life.