Heart: congenital heart disease affects roughly 40–50%, often an AV septal defect. Confirm the lesion and repair status; endocarditis prophylaxis depends on qualifying cardiac disease and the procedure.
Neck and airway: ask about cervical spine symptoms, OSA, and prior anesthesia difficulties before choosing positioning and the treatment setting.
Other conditions: review thyroid disease, immune dysfunction, leukemia history, GERD, and medications.
Communication: assess the child's abilities; use tell-show-do, predictable routines, and caregiver support.
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New neck pain, head tilt, weakness, or gait changes require medical evaluation before elective dental care. Careful supported positioning remains necessary even without symptoms or after a normal previous radiograph.
New neck pain, head tilt, weakness, or gait changes require medical evaluation before elective dental care. Careful supported positioning remains necessary even without symptoms or after a normal previous radiograph.