Treatment under general anesthesia after dental trauma in a patient with autism spectrum disorder: a case report

M. Campos, Saulo Vinicius da Rosa, Marina Luísa Garbarino Nogueira, Margareth Eliana Dias Consulin, L. Signorelli, T. Marega, Alcides Ricardo Gonçalves
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Abstract

ABSTRACT The objective of this study was to present a clinical case of a pediatric patient with ASD who had experienced dental trauma and underwent dental treatment in a hospital environment under general anesthesia. A 10-year-old male patient who was Brazilian and had leukoderma was diagnosed with ASD at three years of age, he experienced trauma to the upper teeth, with avulsion of tooth 12 and extrusive displacement of tooth 11, after being run over by a car in February 2017. He was immediately taken to the emergency room, where he was seen by a dentist and he was immediately transferred to Hospital. In the out-patient clinic of this hospital, with the aid of protective stabilization and infiltrative anesthesia, tooth 12 was reimplanted 40 minutes after trauma and restrained with composite resin. He continued treatment in another city and Endodontic and paraendodontic treatment of teeth 11 and 12 was performed under general anesthesia. Follow-ups with the patient are continuing, with the last control periapical radiograph taken in January 2020. In this case, the proposed dental treatment was successful and did not lead to any complications.
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自闭症谱系障碍患者牙外伤后全麻治疗1例
摘要:本研究的目的是报告一名儿科ASD患者的临床病例,该患者经历了牙齿创伤并在全麻下在医院环境中接受了牙科治疗。一名10岁的巴西男性患者,患有白皮病,在3岁时被诊断为ASD,他在2017年2月被一辆汽车撞倒后,经历了上颌牙齿的创伤,第12颗牙齿撕脱,第11颗牙齿突出移位。他立即被送往急诊室,在那里他被一名牙医看到,并立即被转移到医院。在该院门诊,在保护稳定和浸润麻醉的帮助下,12号牙在创伤后40分钟再植,用复合树脂约束。他在另一个城市继续治疗,在全身麻醉下对第11和12颗牙进行了牙髓治疗和牙髓旁治疗。对患者的随访仍在继续,最后一次对照根尖周x线片摄于2020年1月。在这个病例中,建议的牙科治疗是成功的,没有导致任何并发症。
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审稿时长
20 weeks
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