Oral rehabilitation under dental general anesthesia, conscious sedation, and conventional techniques in patients affected by cerebral palsy
1Dental Research Center and Master's Degree in Dental Science at San Luis Potosi University, Mexico
DOI: 10.17796/jcpd.28.4.e103u071237388h8 Vol.28,Issue 4,October 2004 pp.279-284
Published: 01 October 2004
The purpose of this report is to find the use of different alternatives for dental treatment, from general
anesthesia to conventional techniques, in patients affected by cerebral palsy (CP) in a dental school setting.The
sample was divided into two groups: (1) children, and (2) adolescents and young adults; 38 patients (20 female
and 18 male) with diagnostic of CP were included. Risks and benefits of conscious sedation and general
anesthesia were written into a consent form and these were discussed with parents or guardians of each affected
patient.The mean age was 7.14 ± 2.2 years for children´s group and 18.5 ± 3.06 years for adolescent and young
adult group.Most children (77.3%) were classified as ASA II with a level of behavior I-II according to Frankl´s
scale and these patients were treated under general anesthesia (GA). For patients that were classified as of
positive behavior with little necessity of dental procedures, independent of the medically compromised level,
dental treatment was done with conventional techniques or with conscious sedation. Dental frequency procedures
were as follows: composites, dental prophylaxis, and dental extractions in children; in adolescents and
adults, important to point out is that in anterior teeth and molars endodontic treatment, and surgical procedures
increased in frequency. The mixture sevoflurane-propofol worked well during pre-, peri-, and post-operative
procedures. During the discharge process, most patients needed a recovery of 20-40 minutes, after which they
were awake and oriented, breathing comfortably with stable vital signs. It was concluded that GA with
sevoflurane-propofol and conscious sedation are an excellent tool to provide dental treatment in CP patients in
a dental school setting without most of the major postoperative complications, such as nausea and vomiting.
Juan Pablo Loyola-Rodriguez,Ana Alicia Aguilera-Morelos,Miguel Angel Santos-Diaz,Veronica Zavala-Alonso,Claudia Davila-Perez,Honorio Olvera-Delgado,Nuria Patiño-Marin,Iris De Leon-Cobian. Oral rehabilitation under dental general anesthesia, conscious sedation, and conventional techniques in patients affected by cerebral palsy. Journal of Clinical Pediatric Dentistry. 2004. 28(4);279-284.
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