hand book for dental surgeons - Indian Dental Association ...

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Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders
GENERAL ANAESTHESIA
Risks of vomiting, spasm, and apnea invariably exist in association with the use of general anesthetic;
therefore, it is expedient that milder, though possibly less potent, measures be considered when an anesthetic is
in order.
A childís response, especially with the aid of premedication, is usually cooperative when the dentist exercise
patience and understanding. This is true even with children who may appear incapable of the mental and
physical control needed for successful dental treatment. Should these patient management procedures fail, or if
a severely handicapped child needs extensive dental care, the use of general anesthesia offers a possible solution
for the problem.
Indications for General Anesthesia
Children in one of the following categories usually require general anesthesia:
1. Then uncooperative child who resists treatment after all conventional management procedures
have been tried.
2. The child with a hemostasis disorder who needs extensive dental service.
3. The mentally retarded child so severaly handicapped that dentist-patient communication is impossible.
4. The child suffereing from central nervous disorders manifested by extreme involuntary movements.
5. The child with severe congenital heart disease who is considered incapable of tolerating the excitement
and fatigue of extensive dental service.
Preoperative Procedures
Although the utilization of a general anesthetic in the dental office is acceptable, provided the essential
equipment and a qualified anesthesiologist are available, the safest place for dental treatment under general
anesthesia is undoubtedly the hospital.
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Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders