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
When a childís dental treatment requires hospitalization and a general anesthetic, the best way to insure
cooperation from the parents is to orient them as to the programme planned for their child and their
responsibilities concerning his hospitalization.
Since considerable paper work is associated with any hospitalization, the dentist should familiarize
himself with accepted hospital protocol before a definite admission date is arranged for his patient.
Treatment Procedures
After the patientís hospital admission, the dentist should discuss plans for the treatment with the
anesthesiologist, who determines the tolerance limit of each patient for the general anesthetic, with this as a
guideline, the dentist can then set up a rigid time schedule for treatment.
After evaluating the patientís medical history and determining the extent of the required treatment, the
most suitable premedication and anesthetic can then be chosen. Since it was first tried in pediatric anesthesia,
some 15 years ago, gluothane (halothane) has gained wide acceptance because of its low irritant quality, no
flammability, and the rapid awakening of a patient who has received it.
Nasal endotracheal intubation, where the tube is out of his way, simplifies the treatment procedures for
the dentist. After intubation, the patientís eyes should be covered with damp gauze for protection against dental
and material debris. Great care must be taken to prevent blood or any type of debris from entering the patientís
throat. After complete anesthetization a throat pack of moist gauze should be laid over the pharyngeal opening,
across the tonsillar area, and under the tongue . For its easy, safe removal, the end of the throat pack, with a
string securely attached to it, should extrude from the oral cavity.
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Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders