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All Journal Journal of Social Research Jurnal Locus Penelitian dan Pengabdian
Tifanny Yuliarti Pelawi
Universitas Padjadjaran
Aerospace Engineering Humanities Automotive Engineering Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Mathematics Social Sciences

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Mouth Rehabilitation in Children with Atrial Septal Defect and Epilepsy Under General Anesthesia: A Case Report Tifanny Yuliarti Pelawi; Meirina Gartika; Machmud Al-Husyaery
Journal of Social Research Vol. 5 No. 6 (2026): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v5i6.3189

Abstract

Children with congenital heart disease and epilepsy require special consideration in pediatric dental treatment because systemic conditions, medication use, and the risk of medical emergencies may complicate oral rehabilitation procedures. Atrial septal defect (ASD) is associated with concerns regarding infective endocarditis and perioperative management, while epilepsy may increase the risk of seizures during stressful dental procedures. This study aimed to describe the management of comprehensive oral cavity rehabilitation in a child with ASD and epilepsy under general anesthesia and to discuss its relevance to pediatric dental practice. This research used a case report approach involving a 10-year-old girl with multiple carious teeth, ASD, and epilepsy. Preoperative evaluation was conducted through consultation with a pediatrician and anaesthesiologist, supported by thoracic radiography, panoramic radiography, and hematological examination. Dental procedures, including restorations, pulpotomy, extraction, and fluoride varnish application, were completed in a single session under general anesthesia using sevoflurane inhalation induction. The results demonstrated that comprehensive oral rehabilitation under general anesthesia was successfully performed without intraoperative or postoperative complications. Multidisciplinary coordination, individualized treatment planning, infection control, and strict perioperative monitoring contributed to treatment success. In conclusion, oral rehabilitation under general anesthesia can be a safe and effective treatment option for pediatric patients with ASD and epilepsy when supported by careful preoperative assessment and multidisciplinary management.
Behavior Guidance Considerations in a Preschool Child with Multiple Caries and Hyperactive Gag Reflex: A Case Report Tifanny Yuliarti Pelawi; Iwan Ahmad Musnawirman; Asep Kemal Pasha
Jurnal Locus Penelitian dan Pengabdian Vol. 5 No. 9 (2026): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v5i9.6315

Abstract

Managing dental treatment in preschool children with multiple carious lesions can be challenging, particularly when behavioral difficulties and physiological responses, such as an exaggerated gag reflex, interfere with clinical procedures. Effective behavior guidance strategies are essential to achieve successful treatment outcomes while maintaining the child’s comfort, cooperation, and psychological well-being. This case report aimed to describe the considerations and application of behavior guidance approaches in managing a preschool child with multiple carious lesions and a hyperactive gag reflex during dental treatment. A preschool-aged child presented with multiple dental caries requiring comprehensive restorative treatment. The treatment process was complicated by limited cooperation, dental anxiety, and an exaggerated gag reflex that interfered with intraoral examination and clinical procedures. An individualized behavior guidance approach was implemented, including communication techniques, gradual exposure, positive reinforcement, distraction techniques, and modification of clinical procedures according to the child’s tolerance. The treatment plan was adjusted based on the child’s behavioral responses and physiological limitations to minimize discomfort and improve cooperation. The implementation of individualized behavior guidance techniques improved the child’s acceptance of dental procedures and facilitated the progressive completion of required treatments. The approach reduced treatment-related anxiety and enabled clinicians to manage the gag reflex more effectively during dental care. Successful dental management of preschool children with multiple caries and a hyperactive gag reflex requires comprehensive assessment, individualized behavior guidance strategies, and appropriate adaptation of treatment procedures. A patient-centered approach can enhance cooperation, improve treatment feasibility, and promote positive dental experiences in young children.
Co-Authors Asep Kemal Pasha Iwan Ahmad Musnawirman Machmud Al-Husyaery Meirina Gartika