General anesthesia as one visit dental management for down syndrome child with hypothyroidism and post closure of heart valves
Department of Pediatric Dentistry, Faculty of Dental Medicine Universitas Airlangga, Surabaya- Indonesia.
Case Study
World Journal of Advanced Research and Reviews, 2023, 19(03), 1044–1047
Publication history:
Received on 08 August 2023; revised on 17 September 2023; accepted on 19 September 2023
Abstract:
Introduction: Several studies have stated that the prevalence of dental caries in children with Down Syndrome (DS) is quite high (89%), as is the prevalence of periodontitis (59%). Several systemic conditions with DS always hamper their dental management. Thus, appropriate management behavior is needed to improve oral health care.
Case History: An 8-year-old boy, with DS, complaining that his teeth often experienced spontaneous pain and swelling. Medical history revealed that the patient had hypothyroidism and post-closure of heart valves. During intraoral examination, multiple caries and multiple gangrene radix were found. The patient was uncooperative (Frankl scale number 1). One-visit dental management by GA was performed on the patient, resulting in the patient never experiencing toothache again and having a good appetite.
Discussion: Uncooperative DS children with several accompanying systemic conditions make dental examination and treatment difficult to do in regular dental office. Because of these conditions require appropriate behavioral management to carry out dental treatment. Based on aspects of safety and effectiveness, GA is one of the behavioral management that can be done. Related to it, GA requires a multidisciplinary team, to consider each stage of the procedure. This method makes the dental treatment can be done in one-visit, helps decrease the child’s anxiety, and makes the dental experience safe and less painful.
Conclusion: For patients with several systemic conditions, behavioral management with GA as one-visit dental management is a good option.
Keywords:
Down syndrome; General Anesthesia; Human and Illness; Health Risks; Psychological Well-being
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