Dental management of a 3-year-old uncooperative child under general anaesthesia: a case report
DOI:
https://doi.org/10.18203/2349-3291.ijcp20232891Keywords:
General anaesthesia, Uncooperative child, Early childhood cariesAbstract
Dental care is medically necessary for the purpose of eliminating and preventing orofacial disease, infection and pain, restoring the form and function of the dentition, and correcting facial disfiguration or dysfunction – American Academy of Pediatric Dentistry (AAPD). Lack of cooperation in young paediatric patients can be a confounding factor for dental rehabilitation procedures and even examination or radiographs. To complete necessary dental radiographs and/or treatment in young, uncooperative children general anaesthesia or deep sedation is often required. This article presents the case of a 3-year-old girl child with a complaint of sharp shooting pain in upper and lower left back tooth region and was extremely uncooperative. She was diagnosed with early childhood caries; full mouth rehabilitation was done under general anaesthesia. Clinical examination, classification and treatment plan are discussed based on the review of current literature available.
References
American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry. 2022;321-39.
Campbell RL, Shetty NS, Shetty KS, Pope HL, Campbell JR. Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children. Anesth Prog. 2018;65(4):225-30.
Shafi R, Goswami M, Nangia T, Shafi M, Mushtaq A. Pharmacological Management of Behavior in Children. Res Rev J Dentistry. 2020;11(1):8-17.
Berg JH, Slayton RL. Early Childhood Oral Health. 2nd edition. Wiley Blackwell. 2015. Available at: https://www.perlego.com/book/990856/early-childhood-oral-health-pdf. Accessed on 23 June 2023.
Pradopo SP, Khairani FC, Sudarsono W, Masyithah M, Tedjosasongko U. General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report. Indonesian J Dent Med. 2019;1(1):1.
Puri S, Kapur A, Mathew PJ. General Anesthesia for Dental Procedures in Children: A Comprehensive Review. J Postgrad Med Edu Res. 2022;56(1):29-33.
Saricaoglu F, Celebi N, Celik M, Aypar U. The evaluation of propofol dosage for anesthesia induction in children with cerebral palsy with bispectral index (BIS) monitoring. Paediatr Anaesth. 2005;15(12):1048-52.
Dougherty N. The dental patient with special needs: a review of indications for treatment under general anesthesia. Spec Care Dentist. 2009;29(1):17-20.
