Sedation
Valeria Jadue Nazal, Student
Postgrado
univesidad de los andes
Universidad de los Andes
Santiago, Region Metropolitana, Chile
Monica V. Maldonado, DDS (she/her/hers)
Pediatric Postgraduate Student
Universidad de los Andes
Universidad de los Andes
Santiago, Region Metropolitana, Chile
Andrea Ormeño, Dr
Universidad de los Andes
Santiago, Region Metropolitana, Chile
Introduction: Dental care under general anesthesia is a great option, and sometimes the only one, for non cooperative patients. But, if you do not take good care of your oral health after it, the treatment will fail. The aim of this abstract is to present a case of a girl that was treated under general anesthesia, but as the mother did not follow instructions after the procedure, two restorations were dislodged.
Case report: Female patient, 3 year old, non cooperative. Temporary dentition with caries activity. Gingivitis associated to bad hygiene, open cavities and cariogenic diet. Because of her lack of cooperation the patient was treated by general anesthesia, after analyzing the best treatment for her. The procedure was a success, and clear post treatment instructions were given. She was asked to come for a follow up after a week, and we could see that two of the restorations were not in their place. The mother told us that the girl was chewing hard stuff as toys, despite we told her not to do so. As the child was non cooperative, we had to place ionomer restorations with physical contention with the mother's consent, not being the ideal treatment, but having no other option.
Conclusion: It is crucial to have the parent´s collaboration and support after a general anesthesia treatment, because, as we could see, the treatment can fail if the correct care is not taken. The key to have a successful treatment is to follow the instructions after the procedure, such as eating soft and colorant-free food, having proper hygiene, attending check-ups and having a non-cariogenic diet.