ORAL SURGERY : Guideline on Pediatric Oral Surgery

The American Academy of Pediatric Dentistry (AAPD) intends this guideline to define, describe clinical presentation, and set forth general criteria and therapeutic goals for common pediatric oral surgery procedures that have been presented in considerably more detail in textbooks and the dental/medical literature.

Preoperative evaluation

Medical : Important considerations in treating a pediatric patient include obtaining a thorough medical history, obtaining appropriate medical and dental consultations, anticipating and preventing emergency situations, and being prepared to treat emergency situations.

Dental : It is important to perform a thorough clinical and radiographic preoperative evaluation of the dentition as well as extraoral and intraoral soft tissues.

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Radiographs can include intraoral films and extraoral imaging if the area of interest extends beyond the dentoalveolar complex.

Behavioral considerations Behavioral guidance of children in the operative and perioperative periods presents a special challenge. Many children benefit from modalities beyond local anesthesia and nitrous oxide/oxygen inhalation to control their anxiety.

Management of children under sedation or general anesthesia requires extensive training and expertise. Special attention should be given to the assessment of the social, emotional, and psychological status of the pediatric patient prior to surgery.

Children have many unvoiced fears concerning the surgical experience, and their psychological management requires that the dentist be cognizant of their emotional status.

Answering questions concerning the surgery is important and should be done in the presence of the parent. The dentist also should obtain informed consent prior to the procedure.


°Guideline on Pediatric Oral Surgery

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