Dental management under general anesthesia in a child with autism and attention-deficit/hyperactivity disorder: A case report
이아름, 김현태, 송지수, 신터전, 현홍근, 김정욱, 장기택, 김영재,
소속 상세정보
이아름 ( Lee Ah-Reum ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김현태 ( Kim Hyun-Tae ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
송지수 ( Song Ji-Soo ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
신터전 ( Shin Teo-Jeon ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
현홍근 ( Hyun Hong-Keun ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김정욱 ( Kim Jung-Wook ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
장기택 ( Jang Ki-Taeg ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
김영재 ( Kim Young-Jae ) - Seoul National University School of Dentistry Department of Pediatric Dentistry
Abstract
Autism is a developmental disorder characterized by severe deficits in social interaction and communication. Children with autism exhibit a wide spectrum of medical and behavioral symptoms, which makes routine dental care very difficult for these patients. Attention-deficit/hyperactivity disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity. The more severe a patient’s symptoms of ADHD, the more their anxiety about dental treatment. In this report, we report the case of an 8-year-old boy with autism and ADHD who presented with multiple caries and was successfully treated under general anesthesia. Due to uncooperative behavior related to autism and ADHD, all procedures including preoperative blood tests, periapical radiography, and dental restorative treatment were performed under general anesthesia. Because the patient was resistant to enter the outpatient anesthesia room, oral midazolam was administered for preanesthetic sedation. After 20 minutes, the patient became drowsy and was transferred to the operating room. Oral premedication with midazolam was effective in reducing induced anxiety in highly uncooperative patients.
키워드
Autism; Attention-deficit/hyperactivity disorder; Dental treatment; Midazolam; General anesthesia
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