ditions. The surgical techniques should be meticulous, with great attention being paid to atraumatic tissue handling and precise wound closure. Restorative treatments should be carried out quickly and efficiently with emphasis only on those procedures that have a predictably successful outcome.

The use of general anesthesia and sedation is often contraindicated because of the underlying medical instability of these patients. It becomes important therefore that the dentist should use stress reducing patient management techniques to help gently ease the patient through this potentially high stress experience.

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