Comprehensive dental management of odontogenic infection and ankyloglossia under general anaesthesia in a medically complex child with intellectual disability.
BMJ Case RepOct 5, 2026 (epub)
Janvi Dave, Bhavna H Dave, Seema Dinesh Bargale et al.
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Case in brief
A middle childhood child with moderate intellectual disability presented with pain and swelling in the right posterior mandibular area. The patient, who was non-verbal and had cardiac dysfunction and encephalopathy, was found to have a carious mandibular first permanent molar with a periapical cyst and severe ankyloglossia. Comprehensive dental management under general anaesthesia included extraction, cyst enucleation, and frenectomy, with an uneventful recovery.
Diagnostic / clinical pearl
This case underscores the necessity of multidisciplinary approaches in managing dental care for medically complex children with intellectual disabilities.