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Dental Treatment of Pediatric Patients with Mouth Opening Limitation under General Anesthesia  

Han, Hyo-Jo (Department of Dental Anesthesiology, Seoul National University Dental Hospital)
Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University Dental Hospital)
Kim, Hyun-Jeong (Department of Dental Anesthesiology, Seoul National University Dental Hospital)
Shin, Teo-Jeon (Department of Pediatric Dentistry, Seoul National University Dental Hospital)
Kwoen, Young-Sun (Department of Pediatric Dentistry, Seoul National University Dental Hospital)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.11, no.2, 2011 , pp. 172-176 More about this Journal
Abstract
For dental treatment of children with severe dental phobia, sedation or general anesthesia is usually selected for enhancement of cooperation. But in the case of mouth opening limitation due to temporomandibular disorders, general anesthesia administration is a challenge for anesthesiologist. Because airway management failure was concerned, awake fibroscopic intubation is selected first. But, skillful fibroscopic intubation is not easy in case of uncooprative children patients. In this report, we present two cases of pediatric patients with mouth opening limitation. In the first case, the patient was 52 months old and the maximum opening distance was 1.2 cm, and in the second case the patient was 38 months old and the maximum opening distance was 1.5 cm. Both patients showed severe dental phobia. After sevoflurane inhalation without any intravenous drug, we successfully performed intubation using a fibroscope.
Keywords
Pediatric Patient; Mouth opening limitation; General anesthesia; Airway management; Dental Treatment;
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