Full-mouth rehabilitation under general anaesthesia
Prof. Ahmed Elkhadem
BeforeAfter
BeforeAfterThe front teeth were rebuilt with tooth-coloured crowns, and steel crowns were placed on two upper primary molars.
Paediatric and special-needs dentistry
Your child’s teeth, from the first check-up to full rehabilitation
Children at Mira are treated by paediatric dentistry professors from Cairo University. Most treatment is done in the dental chair. For the cases that need it, the centre has its own general-anaesthesia unit with a consultant paediatric anaesthetist.
General-anaesthesia daysMonday · Wednesday · FridayNext GA dayAsk when booking
8 am to 1 pm. An examination and medical review come before the GA day.
Treatments
What we offer children
We choose the simplest treatment that solves the problem. Photos are from patients treated at the centre.
Check-ups and prevention
Regular examinations, fluoride, and fissure sealants that protect molars before decay starts.
For every child, from the first tooth.
Tooth-coloured fillings
For small and moderate decay, keeping the primary tooth until it is due to be replaced.
When decay has not reached the nerve.
Pulp treatment for primary teeth
Removing the inflamed part of the nerve to stop pain and save the tooth from extraction, then covering it with a crown.
For deep decay or continuing pain.
Zirconia crowns for front teeth
White, tooth-coloured crowns that restore decayed or worn primary front teeth.
For extensive decay or wear of the front teeth.
Steel crowns for primary molars
A steel crown covers the whole primary molar and protects it until it is replaced naturally.
After pulp treatment or when a molar is widely decayed.
Broken front teeth
If your child breaks a tooth, keep the broken piece and bring it with you. In many cases it can be bonded back.
After falls and injuries. Message us straight away.
Extraction when needed
We remove a tooth only when it cannot be saved, and explain what is needed afterwards.
When a tooth is beyond repair or an infection cannot be treated.
Special-needs care
25 years of experience with children with autism, Down syndrome and cerebral palsy. Special needs do not automatically mean general anaesthesia; each child is assessed individually.
For children and adults with special needs.
Full-mouth rehabilitation under GA
All affected teeth are treated while the child is asleep, in the centre’s own anaesthesia unit.
When treatment in the chair is not possible. Details below.
Special needs
Care that understands your child
Prof. Elkhadem has treated children and adults with special needs for 25 years.
- Experience with children with autism, Down syndrome and cerebral palsy.
- Special needs do not automatically mean general anaesthesia; each child is assessed individually.
- General anaesthesia only when needed, and after a medical assessment.
General anaesthesia
When do we choose general anaesthesia?
It is not always the first choice. We suggest it in these situations:
- A very young child, or one who cannot cooperate, who needs many procedures.
- Severe decay in several teeth.
- Severe dental fear where preparation alone is not enough.
- Some children with special needs.
Decided after examination
We discuss the alternatives, benefits and risks with you before any decision. General anaesthesia is a medical procedure with risks, like any anaesthetic, so it is chosen only when the benefit for the child is clear.
Who gives the anaesthetic?
A consultant paediatric anaesthetist from Cairo University, who reviews the medical history, medications and allergies, and monitors breathing, oxygen, pulse and blood pressure until recovery.
Step by step
The GA day
GA days: Monday, Wednesday and Friday, 8 am to 1 pm.
Examination and decision
The dentist examines your child, plans the treatment and explains why GA is suggested.
Pre-anaesthetic review
The anaesthetist reviews the medical history, medications and allergies.
Fasting
Your child arrives fasted, following the centre’s instructions.
No food or drinks for 6 hours before, and no water for 3 hours before. The anaesthetist confirms the exact times for your child.
Treatment
The affected teeth are treated in the same session while the anaesthetist monitors vital signs throughout.
Recovery and going home
Your child stays under observation until fully awake. You then receive instructions and a follow-up appointment.
The team
Who treats your child
Prof. Ahmed Elkhadem
Professor of paediatric and special-needs dentistry, Cairo University. Plans and carries out the dental treatment.
Assoc. Prof. Bassant Nagy
Associate professor and consultant in paediatric dentistry, Cairo University.
Dr Karim El-Khalfawy
Lecturer and consultant in paediatric anaesthesia, Cairo University. Gives the anaesthetic and monitors the child until recovery.
Children’s cases
Before and after
BeforeAfterBeforeAfterZirconia crowns on four primary front teeth
Prof. Ahmed Elkhadem
BeforeAfter
BeforeAfterA child with decay and wear in four upper primary front teeth, rebuilt with zirconia crowns.Disclosure: the “after” photos were digitally retouched to remove traces of blood and to adjust the colour of stains and fissures on the two upper back primary molars. This is cosmetic for the image only, not extra treatment.
Full-mouth rehabilitation in one visit
Prof. Ahmed Elkhadem
Before
After
Before
AfterAll affected teeth treated under general anaesthesia in a single visit.
Real photographs from the centre’s files and Prof. Elkhadem’s lectures. Results differ from one patient to another, and the treatment plan is decided after examination.
Parents’ questions
Common questions
They are baby teeth and will fall out. Why treat them?
A decayed primary tooth can cause pain and infection and affect eating and sleep, and it holds the space for the permanent tooth. Some primary molars stay until the age of 10 to 12.
When should the first dental visit be?
When the first tooth appears or by the first birthday. An early visit is short and is about prevention and getting the child used to the clinic.
My child has special needs. Will they need general anaesthesia?
Not necessarily. Many children are treated in the chair with the right preparation. We decide after examination, based on the child and the amount of treatment needed.
How much does treatment under GA cost?
It is set after the examination because it depends on the number of teeth and the type of treatment. You know the fee before the GA day is booked.
Do you accept insurance?
The centre is not contracted with insurers. We issue a stamped invoice you can submit for reimbursement.
We live outside Cairo. How do we arrange the visit?
Send us photos of the teeth and your child’s age on WhatsApp first, so we can coordinate the examination and keep travel to a minimum.