Dental treatment in child with congenital heart disease under general anesthesia: Clinical case report
DOI:
https://doi.org/10.33448/rsd-v10i6.15907Keywords:
Dental care for children; General anesthesia; Heart diseases.Abstract
Congenital heart diseases consist of structural defects of the heart and represent serious malformations, which manifest in newborns, contributing significantly to perinatal mortality. The dental management of patients with this condition may require caution by professionals, owing to the possibility of bleeding and the risk of causing an infectious endocarditis due to the variety of microorganisms residing in the oral cavity. The present case report aimed to detail dental care under general anesthesia in a hospital for a child with congenital heart disease. Female patient, 4 years old, was diagnosed with atrial and interventricular communication and hemodynamic repercussion 21 days after birth. The patient received dental treatment according to the proposed plan, which included dental restorations, conservative pulp therapy and extraction of lower anterior teeth. Posteriorly, a removable partial prosthesis was made for the patient for the purpose of functional aesthetic rehabilitation. The use of general anesthesia may reduce the risk of infective endocarditis and allows the performance of several dental procedures with a single antibiotic prophylaxis, since the cardiac pediatric patient needs a correct planning of the procedures to be performed.
References
Abolfotouh, M. A., Alhumaidan, G. A., Almalki, B. Y., Alhasson, A. H., Bushnak, I., & Adlan, A. (2020). Predictors of dental general anesthesia receipt among children attending a tertiary hospital in Saudi Arabia. Ibnosina Journal of Medicine and Biomedical Sciences, 12(4), 288.
Adatia, I., & Gittenberger-de Groot, A. C. (1995). Unroofed coronary sinus and coronary sinus orifice atresia: implications for management of complex congenital heart disease. Journal of the American College of Cardiology, 25(4), 948-953.
Aidasani, B., Solanki, M., & Khetarpal, S. (2019). Antibiotics: their use and misuse in paediatric dentistry. A systematic review. European journal of paediatric dentistry, 20(2), 133-138.
Almeida, F. A., Pedra, C. A. C., Jesus, C. A. D., Pedra, S. R. F. F., Fontes, V. F., & Sousa, L. C. B. D. (1998). Comunicação interatrial do tipo seio coronário, comunicação interventricular e ausência de veia cava superior esquerda. Arquivos brasileiros de cardiologia, 71(4), 613-617.
American Academy of Pediatric Dentistry (2020). Use of antibiotic therapy for pediatric dental patients. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry;:443-6.
American Academy on Pediatric Dentistry Council on Clinical Affairs. (2008). Policy on the use of deep sedation and general anesthesia in the pediatric dental office. Pediatric dentistry, 30(7 Suppl), 66-67.
Behrman, R. E., & Kliegman, R. M. (2004). Nelson princípios de pediatria. In Nelson princípios de pediatria (pp. 690-690).
Behrman, R. E., & Kliegman, R. M. (2005). Nelson princípios de pediatria. In Nelson princípios de pediatria.
Bönecker M., Abanto J., Imparato J.C.P., Corrêa M.S.N.P., Guedes-Pinto A.C. (2018) Odontopediatria: evidências científicas para a conduta clínica em bebês e pré-escolares. Quintessence.
Cavezzi Junior, O. (2010). Endocardite infecciosa e profilaxia antibiótica: um assunto que permanece controverso para a odontologia. RSBO (Online), 7(3), 372-376.
Cornejo, K. B. Z., Brener, I. V., & Bouchan, D. R. (2011). Manejo estomatológico del paciente pediátrico con cardiopatía congénita. Revisión de la literatura. Universitas Odontológica, 30(64), 57-66.
Coté, C. J., Wilson, S., American Academy of Pediatrics, & American Academy of Pediatric Dentistry. (2006). Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update. Pediatrics, 118(6), 2587-2602.
Frankl, S. N. (1962). Should the parent remain with the child in the dental operatory?. J. Dent. Child., 29, 150-163.
Glenny, A. M., Oliver, R., Roberts, G. J., Hooper, L., & Worthington, H. V. (2013). Antibiotics for the prophylaxis of bacterial endocarditis in dentistry. Cochrane Database of Systematic Reviews, (10).
Kelly, R., Kidy, S., Allen, P., & Sittampalam, G. (2018). Paediatric dentistry: Child caries and antibiotics. British dental journal, 225(12), 1048-1049.
Nishimura, R. A., Carabello, B. A., Faxon, D. P., Freed, M. D., Lytle, B. W., O'Gara, P. T., ... & Shah, P. M. (2008). ACC/AHA 2008 Guideline update on valvular heart disease: focused update on infective endocarditis: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Journal of the American College of Cardiology, 52(8), 676-685.
Peres, M. A., Barbato, P. R., Reis, S. C. G. B., Freitas, C. H. S. D. M., & Antunes, J. L. F. (2013). Perdas dentárias no Brasil: análise da Pesquisa Nacional de Saúde Bucal 2010. Revista de saude publica, 47, 78-89.
Sun, R., Liu, M., Lu, L., Zheng, Y., & Zhang, P. (2015). Congenital heart disease: causes, diagnosis, symptoms, and treatments. Cell biochemistry and biophysics, 72(3), 857-860.
Vaughan, V. C., McKay, R. J., & Behrman, R. E. (1983). Nelson: tratado de pediatria. In Nelson: tratado de pediatria (pp. 2028-2028).
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Copyright (c) 2021 Aluísio Eustáquio de Freitas Miranda Filho; Diego Henrique da Silva Soares; Petrus Leonardo Alves dos Santos; Marcelo Reis Chaves; Nádia Carolina Teixeira Marques; Julian Miranda Orsi Júnior; Heloisa de Sousa Gomes
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