REABILITAÇÃO ORAL DE PACIENTE COM TRANSTORNO DO ESPECTRO DO AUTISMO COM SEDAÇÃO ENDOVENOSA: RELATO DE CASO

Abstract

Objective: to report a clinical case of oral rehabilitation of a patient with Autism Spectrum Disorder (ASD), performed under intravenous sedation in a dental office, with anesthetist. Case report: patient with ASD and 5-years-old and was submitted to clinical examination. It were observed extensive caries lesions were observed on teeth 51, 52, 61, 75, 84, 85, with the presence of a fistula in the region of tooth 61. Moderate active caries lesions were observed on tooth 54 and initial caries lesions restricted to the enamel on tooth 64. Radiographic examination presented a lateral resorption pattern in a “church ceiling” on tooth 51 and a periapical lesion with internal and external root resorption on tooth 61. No pathological radiographic changes were observed involving the teeth 75 and 85.First, patient was submitted to a clinical exam, prophylaxis and topical fluoride varnish application. Due to a difficult behavior presented by the child a moderate sedation was propose to perform necessary dental procedures. The patient underwent intravenous sedation using Dexmedetomidine 0.1 mcg/kg/h by the anesthesiologist. Extraction of teeth

51, 61 and aesthetic reconstruction of tooth 52 with composite resin were performed, in addition to sealants on teeth 55, 64 and 65. Tooth 54 and lower posterior teeth were restored with composite resin, requiring indirect pulp capping with glass ionomer cement in elements 75 and 85. Conclusion: intravenous sedation allowed for effective care, greater professional control during procedures and reduced stress levels for the patient.