SAAD Digest 

March 2025
Volume: 41
Issue: 1
DOI: 10.63507/YRDN4650

Title: Dental management under general anaesthesia of an adult patient with complex mental health considerations and learning disability

Author(s):  A. Dhanji, J. Perry.

Abstract: 

A 24-year-old male from an inpatient mental health secure hospital was referred to the Special Care Community Dental Services department with dental pain. Initial assessment confirmed a high dental need, complex medical and social history. This included Klinefelter syndrome, learning disability with associated behaviours of distress, autism, attention deficient hyperactive disorder (ADHD), obesity and high body mass index (BMI), asthma, type II diabetes mellitus, hearing impairment, plus severe needle phobia. Following evaluation of mental capacity status and risk assessment (medical, social and dental), reasonable adjustments were made to carry out comprehensive dental treatment under general anaesthetic (GA). This case demonstrates the importance of preparation and a multi-disciplinary team risk management approach to achieve a successful outcome and positive experience for this patient.

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Articles from Digest 41(1)