J Dent Anesth Pain Med.  2016 Sep;16(3):213-216. 10.17245/jdapm.2016.16.3.213.

Dental treatment under general anesthesia in an intellectually disabled child with intellectually disabled parents

Affiliations
  • 1Department of Pediatric Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea. snmc94@snu.ac.kr

Abstract

Children with an intellectual disability often demonstrate lack of cooperation during dental treatment and require behavioral management. A child with mild intellectual disability can be managed adequately using restraints and medication. However, in cases of profound intellectual disability, dental treatment under general anesthesia is usually required. In cases where the patient is an intellectually disabled child who has intellectually disabled parents, it is difficult to evaluate the patient's preoperative condition and to obtain consent for treatment under general anesthesia. Furthermore, they are unable to respond to emergencies after treatment. Therefore, dental treatment should be performed under general anesthesia with hospitalization for children with an intellectual disability. This case presents the dental treatment of an intellectually disabled child, who has intellectually disabled parents, and who required general anesthesia and hospitalization.

Keyword

Dental care for disabled; General anesthesia; Intellectual disability

MeSH Terms

Anesthesia, General*
Child
Dental Care for Disabled
Disabled Children*
Emergencies
Hospitalization
Humans
Intellectual Disability
Parents*

Figure

  • Fig. 1 Patient under general anesthesia.

  • Fig. 2 Preoperative intraoral photo.


Reference

1. Liddell A, Rabinowitz FM, Peterson C. Relationship Between Age Changes in Children's Dental Anxiety and Perception of Dental Experiences. Cognit Ther Res. 1997; 21:619–631.
2. Wang YC, Lin IH, Huang CH, Fan SZ. Dental anesthesia for patients with special needs. Acta Anaesthesiol Taiwan. 2012; 50:122–125.
Article
3. Feldman MA, Walton-Allen N. Effects of maternal mental retardation and poverty on intellectual, academic, and behavioral status of school-age children. Am J Ment Retard. 1997; 101:352–364.
Article
4. Feldman MA, Case L. Teaching child-care and safety skills to parents with intellectual disabilities through self-learning. J Intellect Dev Disabil. 1999; 24:27–44.
Article
5. Brown JP, Schodel DR. A review of controlled surveys of dental disease in handicapped persons. ASDC J Dent Child. 1976; 43:313–320.
Article
6. Tesini DA. Age, degree of mental retardation, institutionalization, and socioeconomic status as determinants in the oral hygiene status of mentally retarded individuals. Community Dent Oral Epidemiol. 1980; 8:355–359.
7. Dougherty N. The dental patient with special needs: a review of indications for treatment under general anesthesia. Spec Care Dentist. 2009; 29:17–20.
8. Wisiak UV, Kröll W, List W. Communication during the pre-operative visit. Eur J Anaesthesiol. 1991; 8:65–68.
Article
9. Campbell AG. Infants, Children, and Informed Consent. Br Med J. 1974; 3:334–338.
Article
Full Text Links
  • JDAPM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr