TREATMENT PLANNING FOR DENTAL CARE UNDER GA

Question 1

DGA pt profile

Answer 1

5-6yrs
ethnic minority groups
deprived
safeguarding concerns

Question 2

why is tx planning important for DGA

Answer 2

• risk of death
• high levels of associate morbidity (sick, dizzy, pain post op, bleeding)
• inconvenience for family
• psychological upset for child
• to max efficiency and minimise cost

Question 3

justificaiton of DGA

Answer 3

1) children with management problems, not amenable to other behaviour management strategies
- very young
- learning disabilities
2) orofacial trauma
3) surgery or multiple extractions/quadrant dentistry
4) acute facial swelling (ineffective LA)
5) mitigating MH
- haemophilia
- C1
- esterase inhibitor deficiency

6) those with needle phobia / generally anxious

Question 4

pre GA assessment

Answer 4

discuss tx options
requesting special tests
give appropriate pre op insructions
behaviour managment
less risk

Question 5

BMI

Answer 5

obese children under greater respiratory risk

Question 6

how to diagnose for GA

Answer 6

is tx necessary
can tx be provided without dga
is the risk justified

Question 7

what is usually balanced in extractions

Answer 7

3s to keep cnetre line conincidnet

Question 8

repeat GAs risk factors

Answer 8

• early childhood caries (esp mx incisors)
• poor attendance
• dysfunctional chaotic family situation
• poor compliance with diet and OHI (bottle, child brushing their own teeth

Question 9

risks and pre op instructions

Answer 9

• bleeding
• pain brushing
• space loss
• risk of damage to adjacent teeth

no food 6hrs pre op, sips of water allowed until time of op