<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="dentistry" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">394</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2025.50201</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Dentistry</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Dental Management of a Patient With VACTERL Association Under General Anesthesia: A Case Report&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Shabra</surname>
            <given-names>Anas</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Marzouk</surname>
            <given-names>Mostafa</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Albalawi</surname>
            <given-names>Sarah</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>11</day>
        <month>02</month>
        <year>2025</year>
      </pub-date>
      <volume>5</volume>
      <issue>2</issue>
      <fpage>101</fpage>
      <lpage>107</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Introduction: VACTERL association is a rare congenital multisystem malformation that includes vertebral anomalies, anal atresia, cardiac malformations, tracheoesophageal fistula with or without esophageal atresia, renal dysplasia, and limb abnormalities. Clinicians usually require at least 3 of the mentioned anomalies for diagnosis. Its prevalence has been estimated between 1/10,000 to 1/40,000 infants. Both genetic and environmental factors may contribute to this association.  Oral health in these patients is frequently overlooked due to their medical condition. This report discusses the dental findings and management of VACTERL association patient under general anesthesia.&#13;
&#13;
Case Description: A 7-year-old Saudi boy, a known case of VACTERL association with a tracheostomy tube due to bilateral vocal cord paralysis, hyperactive airway disease, and a chromosome 5 anomaly. According to American society of anesthesiologists (ASA), his condition is classified as ASA III. He presented to the pediatric dental clinic with his mother, complaining of retained lower primary anterior teeth. Intraoral examination revealed poor oral hygiene, indicating parental neglect. The patient also has multiple carious lesions and retained lower primary central incisors with permanent ones erupting lingually. Due to the patient’s uncooperative behavior and his medical complexity, dental rehabilitation under general anesthesia was planned. Multidisciplinary coordination ensured safe anesthesia management, including a tracheostomy tube exchange. Treatment involved restorations, sealants, and oral hygiene counseling. The procedure was completed without complications, and follow-up care was scheduled to maintain oral health.&#13;
&#13;
Conclusion: Preventive dental care is extremely important in these types of cases. Dental rehabilitation under general anesthesia for patients with VACTERL association may be challenging and needs to be adequately planned with a multidisciplinary team.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>Pediatric dentistry</kwd>
        <kwd> VACTERL association</kwd>
        <kwd> Dental management</kwd>
        <kwd> Congenital anomalies</kwd>
        <kwd> Tracheostomy</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>