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.
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