Full Dental Care under General Anesthesia for a Patient with Epilepsy and Cerebral Palsy: Case Report
Roula Dib Khalaf
Department of Pediatric Dentistry and Public Dental Health, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
Sondos Mechmechani
Department of Pediatric Dentistry and Public Dental Health, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
Georges Aoun
*
Department of Oral Medicine and Maxillofacial Radiology, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
*Author to whom correspondence should be addressed.
Abstract
This report presents the case of a 5-year-old female patient with epilepsy and cerebral palsy who received dental treatment under general anesthesia due to her inability to cooperate with local anesthesia. The patient presented with multiple dental issues, including pulpitis and gingivitis, necessitating urgent intervention. Despite challenges such as motor dysfunction and cognitive impairment, successful dental treatment was achieved through careful preoperative evaluation, multidisciplinary collaboration, and meticulous perioperative management. Treatment involved extraction, pulpotomy, stainless-steel crowns, and composite restorations. Postoperative examination revealed satisfactory outcomes, although long-term oral hygiene maintenance remains crucial. The report underscores the importance of tailored approaches and comprehensive care in managing dental issues in patients with epilepsy and cerebral palsy, highlighting areas for future research to enhance treatment efficacy and mitigate associated risks.
Keywords: cerebral palsy, epilepsy, motor dysfunction, cognitive impairment, primary dentition, gingivitis, multiple caries, general anesthesia, multidisciplinary collaboration, risk assessment