Pediatric Dentistry · single question
A patient with Down syndrome has a documented history of being difficult to manage. Which approach is CONTRAINDICATED?
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Correct answer: C. Physical restraint / protective stabilization without proper consent and indication
- A. Short appointments accommodate limited attention span and are recommended.
- B. GA is an appropriate option when behavior guidance fails and extensive treatment is needed.
- C. Correct. Protective stabilization risks physical and psychological harm and, in Down syndrome, atlantoaxial instability makes forced head/neck positioning particularly hazardous. It requires strict indication and informed consent.
- D. Desensitization with a trusted caregiver present is an evidence-supported approach.
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