Alowi Wejdan A, Baghlaf Khlood
Saudi Board of Pediatric Dentistry, Resident in King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):416-419. doi: 10.5005/jp-journals-10005-2532.
This is a case report presenting the behavioral and dental management of a 9-year-old child recently diagnosed with autoimmune encephalitis, seizure disorder, and psychosis and treated with anticonvulsant and antidepressant medications. In this case, seizure semiology was presented as eye blinking during the attack, and the child was usually not conscious. It is absorbed by itself and associated with a post-sleeping attack that lasts for minutes.
Parents presented to the pediatric dental clinic with a chief complaint of decayed teeth that needs to be restored. The child has mixed dentition and is diagnosed with anterior crossbite and single posterior crossbite. The child was cleared by the pediatric neurologist and psychiatrist and had no contraindications to dental treatment under local anesthesia. The child's treatment was completed on the dental chair without any seizure attacks, and the patient's chief complaint was resolved.
Pediatric dentists should be educated about dental precautions and consider drug interactions when treating children with autoimmune encephalitis. Various types of non-pharmacological behavior guidance techniques and pharmacological methods of behavior management techniques can aid in the behavioral management of children with psychosis.
Alowi WA, Baghlaf K. Behavioral and Dental Management of a Pediatric Patient Diagnosed with Autoimmune Encephalitis: A Case Report. Int J Clin Pediatr Dent 2023;16(2):416-419.
本文为一例病例报告,介绍了一名9岁儿童的行为及牙科治疗情况。该儿童近期被诊断为自身免疫性脑炎、癫痫症和精神病,正在接受抗惊厥和抗抑郁药物治疗。在此病例中,癫痫发作症状表现为发作时眨眼,且患儿通常无意识。发作可自行缓解,并与持续数分钟的睡眠后发作相关。
患儿家长带孩子到儿科牙科诊所就诊,主诉牙齿龋坏需要修复。患儿处于混合牙列期,被诊断为前牙反合和单个后牙反合。儿科神经科医生和精神科医生对患儿进行了评估,患儿在局部麻醉下进行牙科治疗无禁忌证。患儿在牙科治疗椅上完成了治疗,期间未出现癫痫发作,其主诉问题得到解决。
儿科牙医应接受有关牙科预防措施的教育,并在治疗自身免疫性脑炎患儿时考虑药物相互作用。各种非药物行为指导技术和行为管理技术的药物方法有助于对患有精神病的儿童进行行为管理。
Alowi WA, Baghlaf K. Behavioral and Dental Management of a Pediatric Patient Diagnosed with Autoimmune Encephalitis: A Case Report. Int J Clin Pediatr Dent 2023;16(2):416 - 419.