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KMID : 1144020230190010001
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Journal of Korean Association for Disability and Oral Health
2023 Volume.19 No. 1 p.1 ~ p.7
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Dental treatment of a child with a history of extremely low birth weight under general anesthesia: A case report
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Kim Jun-Young
Kim Hyun-Tae
Shin Teo-Jeon
Hyun Hong-Keun
Mostafa Alam
Kim Jung-Wook
Jang Ki-Taeg
Song Ji-Soo
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Abstract
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Extremely low-birth-weight (ELBW) infants, defined as a birth weight < 1,000 g, are at a high risk of congenital lung and heart diseases, and often with several complications. The oral manifestations of ELBW infants are enamel hypoplasia, delayed pri mary teeth eruption, and abnormal hard palate formation. This report presents the dental treatment of a 6-year-old girl having a history of ELBW. The patient had pulmonary hypertension, severe bronchopulmonary dysplasia, and brain lesion disease. Class II malocclusion was observed, and enamel hypoplasia and severe attrition were detected on the primary molars. In ad dition, prolonged retention of right mandibular primary incisor, and incipient occlusal caries was found on the permanent first molars. The patient was treated with stainless steel crown restorations on the primary molars and preventative composite resin restoration on the permanent first molars. Because of concern of difficulty in maintaining adequate oxygen saturation and uncooperative behavior related to a brain lesion, treatment was performed under general anesthesia. Maintaining the patient’ s oral health even after treatment under general anesthesia requires intensive preventive care such as periodic topical fluoride application, and diet consultations.
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KEYWORD
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Extremely low-birth-weight infants, Pulmonary hypertension, Intellectual disability, Dental treatment, General anesthesia
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