Journal of Disability and Oral Health

cover art

Cover Date:
April 2006
Print ISSN:
1470-8558
Electronic ISSN:
1754-2758
Vol:
7
Issue:
1

Mortality after full mouth rehabilitation under general anesthesia for a child with Tetralogy of Fallot: report of a case

This paper presents the case of a 9-year-old boy with uncorrected Tetralogy of Fallot (ToF) who was admitted to our hospital for comprehensive treatment of his dental problems under general anaesthesia. Treatment included three amalgam restorations, four sealants, eight resin-based composite restorations, two preformed metal crowns (SSC), eight primary tooth or residual root extractions, two supernumerary tooth extractions, and a lower arch impression for the fabrication of a lower lingual holding arch (LLHA). Immediately after the operation, the patient was sent to the paediatric intensive care unit and after he was stabilised, his nasotracheal tube was removed. Unfortunately, the patient then developed severe breathing difficulty and lost consciousness but was resuscitated after reintubation and cardiopulmonary resuscitation. The patient died two months postoperatively from spontaneous, massive bleeding from the pharyngoesophageal region. The poor outcome in this case, after full mouth rehabilitation under general anaesthesia, indicates the risk associated with these special patients, the need to work with a well trained paediatric anaesthetist and the importance of cautiously embarking upon this form of dental care. Key words: Congenital heart defect, dental care, general anaesthesia, mortality

Article Price
£15.00
Institution Article Price
£15.00
Page Start
35
Page End
42
Authors
C C Liao, C Y Yang, Y H Chen

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial - Special Care Dentistry – a reality
  2. 2
  3. 2

  1. Oral health findings in a group of Greek schoolchildren with mild intellectual impairment
  2. 3
  3. 9

  1. A comparison of the effectiveness of chlorhexidine varnish, fluoride varnish and fluoride gel in children with intellectual disability
  2. 10
  3. 16

  1. Feeding habits of children with Down syndrome living in Riyadh, Saudi Arabia
  2. 17
  3. 21

  1. An approach to the restoration of fractured anterior teeth in adolescents with intellectual impairment
  2. 25
  3. 28

  1. The use of hypnosis and systematic desensitisation in the management of dental phobia: a case report
  2. 29
  3. 34

  1. Mortality after full mouth rehabilitation under general anesthesia for a child with Tetralogy of Fallot: report of a case
  2. 35
  3. 42

  1. Oral hygiene status and behaviour of the special needs children in Lahore, Pakistan
  2. 43
  3. 47

  1. The oral health status of Special Olympics athletes in Trinidad and Tobago
  2. 48
  3. 52

  1. The dental management of a patient with erythromelalgia: a case report
  2. 53
  3. 54

  1. BSDH News
  2. 55
  3. 55

  1. Addendum
  2. 56
  3. 56

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