The Department of Pediatric & Preventive Dentistry of Teerthanker Mahaveer Dental College & Research Centre (TMDC&RC), performed an interesting case of emergency dental management of fractured teeth under General Anesthesia (G.A) of an eleven-year-old boy presented with an Ellis class 3 fracture who was having medically compromised condition with a seizure disorder, global developmental delay, and ventricular septal defect.
The eleven-year-old boy had been experiencing pain in the fractured upper permanent maxillary teeth for the past 20 days. Upon examination, the child was presented with Ellis class 3 fracture with exposed pulp tissue in both central incisors, which required endodontic and esthetic build-up of the incisors. Since the child was medically compromised with a history of seizures, the case was assigned to emergency dental management under general anesthesia after receiving consent from the parents.
Under general anesthesia and nasotracheal intubation, the fractured teeth were initially managed by doing a conservative apexogenesis procedure. Since the bleeding was uncontrollable, the pulpotomy procedure was abandoned and went for apexification with metapex followed by a composite build-up of teeth.
The surgery lasted 2 hours. The outcome was excellent, with no complications. The postoperative period was uneventful and the child was put on strict oral hygiene measures during the maintenance phase. The parents expressed their heartfelt gratitude to the whole team for managing this case as none of the practitioners was able to handle the case in their locality.
All the dental procedures were performed by an expert team of pediatric dentists headed by Professor Dr Ramakrishna Yeluri, Senior Lecturer, Dr Rishika along with postgraduate students (Dr Nisha, Dr.Surabhi, Dr Linthoingambi, Dr Anubha, Dr Manan, Dr Medha, Dr Aarti) and interns of the department.
The presentation of this case demonstrates the reach of Pediatric Dentistry in terms of providing dental cures to medically compromised young children in a hospital setting through a multidisciplinary approach. The team was led by Professor Dr. Rohit Varshney and Professor Dr. Baljeet Maini.
Teerthanker Mahaveer University’s Department of Pediatric & Preventive Dentistry (TMDC&RC) has been performing such explicit cases since 2014, and it is one of its kind in the Moradabad region. The department always includes interns to actively participate and allows them to play a supportive role in the team for the better understanding and motivation to choose this speciality as a postgraduate subject. TMDC&RC is one of the best dental institutionsin Delhi NCR and Uttar Pradesh, emphasising practical experience, aided by theoretical knowledge.