Outpatient dental treatment under general anesthesia in children with cleft lip palate: case report

Resumo

This study aimed to report the case
of an eight-year-old patient with cleft lip and palate associated with
undiagnosed syndrome presenting high level of carious lesions,
difficulty on oral hygiene, no collaborative behavior and cariogenic
diet. Case report: The patient underwent outpatient treatment for
dental extraction and Atraumatic Restorative Treatment. Later at the
following-up appointment, the child presented new active white spots
and fractured restorations. Then, dental treatment under general
anesthesia for amalgam restorations was indicated. Conclusion: We
conclude that dental care under general anesthesia was an alternative
treatment for the reported child in this clinical case that had a high
prevalence of caries, cariogenic diet, loss of lip elasticity due to
corrective surgeries, difficult access for oral hygiene and caregiver’s
fear to toothbrush near to the cleft.