General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report

Background: Cerebral palsy described as a spectrum of movement and posture disorders which result from pathological injury to the developing fetal or infant brain. Many conditions associated with cerebral palsy require surgery. Purpose: This article presents case report of a 15-year old, autistic ma...

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Main Authors: Seno Pradopo, Firli Cahaya Khairani, Wahyudi Sudarsono, Masyithah Masyithah, Udijanto Tedjosasongko
Format: Article
Language:English
Published: Faculty of Dental Medicine, Universitas Airlangga 2019-07-01
Series:Indonesian Journal of Dental Medicine
Subjects:
Online Access:https://e-journal.unair.ac.id/IJDM/article/view/13800
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author Seno Pradopo
Firli Cahaya Khairani
Wahyudi Sudarsono
Masyithah Masyithah
Udijanto Tedjosasongko
author_facet Seno Pradopo
Firli Cahaya Khairani
Wahyudi Sudarsono
Masyithah Masyithah
Udijanto Tedjosasongko
author_sort Seno Pradopo
collection DOAJ
description Background: Cerebral palsy described as a spectrum of movement and posture disorders which result from pathological injury to the developing fetal or infant brain. Many conditions associated with cerebral palsy require surgery. Purpose: This article presents case report of a 15-year old, autistic male patient with cerebral palsy who required urgent management of multiple gangren radix, multiple pulpitis and gingivitis. Case Management: General anaesthesia was chosen for the purpose of behaviour management. The dental procedure were restoration with flow able composite of 7 teeth, extraction of 15 gangren radix, scaling of maxilla and mandibular region, also preventive treatment with topical aplication of fluoride. Discussion: Principles to the care of a such patient including early recognition, parental support, multi-disciplinary planning of procedure requiring general anesthesia, continuity of anesthesia care, and clear guidelines about the perioperative management of uncooperative children. Dental surgery under general anaesthesia was done, the patient was received restoration with flow able composite of 7 teeth, extraction of 15 gangren radix, scaling calculus at maxilla and mandibular region, also preventive treatment with topical aplication of fluoride. Conclusion: The case report showed that dental treatment should be done in patient with cerebral palsy and autism comprehensively.
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spelling doaj.art-0c1c47810f564fb7b9763639bb26feac2022-12-21T23:04:39ZengFaculty of Dental Medicine, Universitas AirlanggaIndonesian Journal of Dental Medicine2722-12532019-07-01111410.20473/ijdm.v1i1.2018.1-46847General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case ReportSeno Pradopo0Firli Cahaya Khairani1Wahyudi Sudarsono2Masyithah Masyithah3Udijanto Tedjosasongko4Faculty of Dental Medicine, Universitas AirlanggaFaculty of Dental Medicine, Universitas AirlanggaFaculty of Dental Medicine, Universitas AirlanggaFaculty of Dental Medicine, Universitas AirlanggaFaculty of Dental Medicine, Universitas AirlanggaBackground: Cerebral palsy described as a spectrum of movement and posture disorders which result from pathological injury to the developing fetal or infant brain. Many conditions associated with cerebral palsy require surgery. Purpose: This article presents case report of a 15-year old, autistic male patient with cerebral palsy who required urgent management of multiple gangren radix, multiple pulpitis and gingivitis. Case Management: General anaesthesia was chosen for the purpose of behaviour management. The dental procedure were restoration with flow able composite of 7 teeth, extraction of 15 gangren radix, scaling of maxilla and mandibular region, also preventive treatment with topical aplication of fluoride. Discussion: Principles to the care of a such patient including early recognition, parental support, multi-disciplinary planning of procedure requiring general anesthesia, continuity of anesthesia care, and clear guidelines about the perioperative management of uncooperative children. Dental surgery under general anaesthesia was done, the patient was received restoration with flow able composite of 7 teeth, extraction of 15 gangren radix, scaling calculus at maxilla and mandibular region, also preventive treatment with topical aplication of fluoride. Conclusion: The case report showed that dental treatment should be done in patient with cerebral palsy and autism comprehensively.https://e-journal.unair.ac.id/IJDM/article/view/13800cerebral palsy, autism, general anaesthesia, child, dental treatment
spellingShingle Seno Pradopo
Firli Cahaya Khairani
Wahyudi Sudarsono
Masyithah Masyithah
Udijanto Tedjosasongko
General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report
Indonesian Journal of Dental Medicine
cerebral palsy, autism, general anaesthesia, child, dental treatment
title General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report
title_full General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report
title_fullStr General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report
title_full_unstemmed General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report
title_short General anaesthesia in the dental management of a child with cerebral palsy and autism: A Case Report
title_sort general anaesthesia in the dental management of a child with cerebral palsy and autism a case report
topic cerebral palsy, autism, general anaesthesia, child, dental treatment
url https://e-journal.unair.ac.id/IJDM/article/view/13800
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AT wahyudisudarsono generalanaesthesiainthedentalmanagementofachildwithcerebralpalsyandautismacasereport
AT masyithahmasyithah generalanaesthesiainthedentalmanagementofachildwithcerebralpalsyandautismacasereport
AT udijantotedjosasongko generalanaesthesiainthedentalmanagementofachildwithcerebralpalsyandautismacasereport