Deshpande Anshula N, Pradhan Neha R, Patel Kinjal S, Mulchandani Vinay R
Department of Paedodontics and Preventive Dentistry, KMSDCH, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
Contemp Clin Dent. 2018 Jul-Sep;9(3):498-501. doi: 10.4103/ccd.ccd_140_18.
A 3 year old female patient with history of congenital hydrocephalus and epileptic episodes since a week was referred to the department from Dhiraj general hospital for dental opinion. The patient was non ambulatory. On initial clinical examination grade II mobility was present with lower anterior teeth along with lower lip laceration and an extra oral swelling on the left side of the face. Pharmacological management was opted for this patient as regular chair side management was not feasible. The necessary investigations were completed. When the patient was taken under general anaesthesia for treatment, a radical symptomatic and preventive treatment was opted. Such cases pose a challenge to the Pedodontist's decision making skills and must be dealt considering the long term health benefits.
一名3岁女性患者，有先天性脑积水病史，自一周前起出现癫痫发作，从德拉吉综合医院转诊至该科室寻求牙科意见。患者无法行走。初步临床检查发现，下前牙有二级松动，伴有下唇撕裂伤和左侧面部口外肿胀。由于常规的椅旁治疗不可行，因此选择了药物治疗。完成了必要的检查。当患者接受全身麻醉进行治疗时，选择了彻底的对症和预防性治疗。此类病例对儿童牙医的决策技能构成挑战，必须从长期健康益处的角度加以处理。
