Safe orthodontic bonding for children with disabilities during general anaesthesia.
General anaesthesia (GA) may be employed to overcome management difficulties in the orthodontic treatment of disabled children. This report introduces the application of a rubber dam as a useful aid for a high quality bonding and as an effective safeguard in bonding of brackets in general anaesthesia, in the handicapped in particular. GA was used in 12 patients, of a cohort of 49 disabled patients, to facilitate the placing of the fixed appliance. The first seven were bonded solely with the use of an oropharyngeal pack and a high velocity suction to prevent aspiration, and the last five additionally underwent placement of a rubber dam. The use of a rubber dam to facilitate the safe and reliable bonding of orthodontic brackets in handicapped children under general anaesthesia is highly recommended.
Center for the Treatment of Cranio-facial Disorders in Handicapped Children, Department of Orthodontics, Jerusalem, Israel.
S
S
Chaushu
R
R
Zeltser
A
A
Becker
D000293:Adolescent; D000328:Adult; D000766:Anesthesia, Dental; D000768:Anesthesia, General; D002648:Child; D015331:Cohort Studies; D001840:Dental Bonding / Q000379:methods*; D019140:Dental Care for Children; D003730:Dental Care for Persons with Disabilities; D019988:Children with Disabilities; D006801:Humans; D009960:Oropharynx; D009967:Orthodontic Appliances; D016910:Orthodontic Brackets; D009969:Orthodontic Wires; D015203:Reproducibility of Results; D016733:Rubber Dams; D012449:Safety; D013396:Suction; D013630:Tampons, Surgical; D014087:Tooth Movement Techniques / Q000295:instrumentation