RESUMO
Background: This is a case report presenting the behavioral and dental management of a 9-year-old child recently diagnosed with autoimmune encephalitis, seizure disorder, and psychosis and treated with anticonvulsant and antidepressant medications. In this case, seizure semiology was presented as eye blinking during the attack, and the child was usually not conscious. It is absorbed by itself and associated with a post-sleeping attack that lasts for minutes. Case description: Parents presented to the pediatric dental clinic with a chief complaint of decayed teeth that needs to be restored. The child has mixed dentition and is diagnosed with anterior crossbite and single posterior crossbite. The child was cleared by the pediatric neurologist and psychiatrist and had no contraindications to dental treatment under local anesthesia. The child's treatment was completed on the dental chair without any seizure attacks, and the patient's chief complaint was resolved. Conclusion: Pediatric dentists should be educated about dental precautions and consider drug interactions when treating children with autoimmune encephalitis. Various types of non-pharmacological behavior guidance techniques and pharmacological methods of behavior management techniques can aid in the behavioral management of children with psychosis. How to cite this article: Alowi WA, Baghlaf K. Behavioral and Dental Management of a Pediatric Patient Diagnosed with Autoimmune Encephalitis: A Case Report. Int J Clin Pediatr Dent 2023;16(2):416-419.
RESUMO
Background: Making use of rotary instruments for doing pulpectomies in the primary teeth is one of the most developing areas in the field of pedodontics. The primary aim of this study was to assess the understanding and the ease with which Saudi Arabian dentists could use rotary instrumentation in primary teeth. Materials and methods: A cross-sectional observational study was conducted among dentists over 3 months. A structured self-explanatory questionnaire was given, and responses were obtained from the dental practitioners. Results: The response rate for the survey was 92.45%. Only 21.4% of them were using rotary instruments, and ProTaper was most commonly used. The most common limitation factors that obstructed its usage included the taper and length of the existing files. On assessing the need for using an exclusive rotary file for performing root canal preparation in primary teeth, there was a significant difference observed statistically. The general thought that floated among most dental practitioners (p value = 0.01) and specialists who had 11-15 years of experience was that an exclusive rotary file is the need of the hour. Conclusion: There is an absolute need for more education programs and workshops in the country to increase the knowledge and awareness of dental practitioners, and also to give hands-on experience regarding rotary instrumentation in primary teeth. In kids, it seems appropriate to use kid-specific rotary files that make it comfortable for children too during the procedure. How to cite this article: Alowi WA, Maganur PC, Manoharan V, et al. Knowledge and Practice of Rotary Instrumentation in Primary Teeth among Saudi Arabian Dentists: A Cross-sectional Study. Int J Clin Pediatr Dent 2022;15(S-1):S97-S102.
