Surgical Removal Impacted Teeth under Local Anesthesia in Autistic Patient
Surgical Removal Impacted Teeth under Local Anesthesia
Keywords:
impacted teeth, autistic disorder, local anesthesia, quality of lifeAbstract
A 21-year-old Thai male patient with autism level 1 visited a dentist due to a partially impacted tooth. The diagnosis was horizontal Impaction Class II position B of the left lower third molar. The patient’s family was not comfortable met treatment under general anesthesia and the long waiting time. The treatment results demonstrated that an autistic patient with level 1 was able to co-operate during surgical removal under local anesthesia. However, the level of co-operation and impacted tooth position must be considered to control the duration of the procedure. This report may serve as an alternative for other autistic patients to improve their quality of life
References
Winter GB. Impacted mandibular third molars. St. Louis, MO, USA: American Medical Book Co; 1926.
Pell GJ, Gregory GT. Impacted mandibular third molars: Classification and modified technique for removal. Dent Dig 1933;39(9):330-8.
Tetsch P, Wagner W. Operative extraction of wisdom teeth translate by Shellis RP. London, United Kingdom: Wolfe Medical Publications ศtd.;1985. p.304-26.
Swedon SE, Baird G, Cook EH, Happe FG, Harris JC, Kaufmann WE, et al. Neurodevelopmental disorders. In: Jeste DV, Lieberman JA, Fassler D, Peele R, Benson RS, Young ML, et al, editors. Diagnosis and statistical manual of mental disorder. 5th ed (DSM-5). Arlington, Virginia State, USA: American Psychiatric Publishing; 2013. p.31-86.
Klien U, Nowak AJ. Autistic disorder: A review for pediatric dentist. Pediatr Dent 1998;20(5):312-7.
Allsopp MY, Rice C, Karapurkar T, Boyle C. Prevalence of autism in metropolitan area. JAMA 2003;289(1):49-55.
Scott FJ, Cohen SB, Bolton P, Brayne C. Brief report prevalence of autism spectrum conditions in children age 5-11 years in Cambridgeshire UK. Autism 2002;6(3):231-7.
Plubrukam R, Piyasil V, Moungnoi P, Tanprasert S, Chutchawalisakul V. Trend study of autistic spectrum disorders at Queen Sirikit National Institute of Child Health. J Med Assoc Thai 2005; 88(7):891-7.
Loo CY, Graham RM, Hughes CV. The caries experience and behavior of dental patients with autism spectrum disorder. J Am Dent Assoc 2008;139(11):1518-24.
Malee A. Dental management and treatment in special child. Bangkok, Thailand; P A Living Press; 2012.
Teemaporn S, Prapai C. Dental health in primary dentition and behavior in dental examination of Autistic children. JDMS 2022;27(7):316-27.
Swallow JN. The dental management of autistic children. Br Dent J 1969;126(3):128-31.
Stein LI, Polido JC, Cermak SA. Oral care and sensory over-responsivity in children with Autism Spectrum Disorders. Pediatr Dent 2013;35(3):230-5.
Wolpe J. The systematic desensitization treatment of Neuroses. J Nerv Ment Dis 1961;132:189-203. https://doi.org/10.1097/00005053-196103000-00001
Connick C, Pugliese S, Willette J, Palat M. Desensitization: Strengths and limitations of its use in dentistry for patient with severe and profound mental retardation. ASDC J Dent Child 2000;67(4): 250-5.
Uddya J, Varadharaja MM, Parthiban J, IIa Srinivasan. Autism disorder (AD): An update review for pediatric dentists. J Clin Diagn Res 2014;8(2):275-9.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Buddhchinaraj Phisanulok Hospital
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
