Dr Ashwin Jawdekar is an Alumnus of Nair Hospital Dental College Mumbai. An exclusive practitioner of Pediatric Dentistry in Thane, he is also an Associate Professor of Pedodontics at MGM Dental College, Navi Mumbai.
Even children with special care needs should be given a fair chance to cooperate and dentists must explore all possibilities of achieving cooperation (including minimal physical restraints) prior to considering GA. It does, however, depend on a lot of factors such as the type and extent of disability, amount and nature of treatment to be performed, whether the treatment need is urgent (emergency) or planned, fitness of the child for GA and parent's expectations and concerns. I have managed to carry out multiple extractions and restorations for a Down Syndrome child using 'modified' behaviour modificationand a few RMGIC restorations for an autistic child on parent's lap wrapped in a bedsheet, assisted with mouthprop and 6 handed dentistry.
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