To bypass the stress and pain of dental treatment

To provide a safe and effective treatment

Provide an easy option for parents

To care for children with disabilities where communication & behaviour is limited

uncooperative children on the first dental visit

patient in need of extensive treatment

establised allergy to local anaesthesia

surgical drainage of an acute infected swelling

Age of the Child

Medical status

Complexity of dental treatment

Alternative behaviour techniques

Should be sent to the medical doctor to seek advice prior to GA

should be sent for post GA to medical doctor for check-up

should be sent for pre-anaesthetic assesment to anaes team

should me categorise based on the ASA classification

Explanation of the indications for GA

Risk of GA

Step by step procedures of GA

Who will be performing the dental procedures

ensure all treatment is carried out in a single visit

takes into account the inability for patient to tolerate LA chairside

requires radiographs for a comprehesive treatment plan

does not involve restorative option, extraction only

patient do not have to come to the dental clinic

patient have to be seen regularly for preventive therapy

patient have to come regularly for behaviour management

patient only need to come if pain occurs

Good Teamwork

good pain control

effective communication

shared responsibilities

Patient needs to come to paeds specialist for review regularly

Patient is dismissed from care

Patient can be referred to outpatient department for continuation of care

Enhance prevention strategies should be in place