Full mouth rehabilitation of a patient with Sturge-Weber syndrome using a mixture of general and sedative anesthesia
Journal of Dental Anesthesia and Pain Medicine
;
: 173-179, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-143020
ABSTRACT
Issues related to the control of seizures and bleeding, as well as behavioral management due to mental retardation, render dental treatment less accessible or impossible for patients with Sturge-Weber syndrome (SWS). A 41-year-old man with SWS visited a dental clinic for rehabilitation of missing dentition. A bilateral port-wine facial nevus and intraoral hemangiomatous swollen lesion of the left maxillary and mandibular gingivae, mucosa, and lips were noted. The patient exhibited extreme anxiety immediately after injection of a local anesthetic and required various dental treatments to be performed over multiple visits. Therefore, full-mouth rehabilitation over two visits with general anesthesia and two visits with target-controlled intravenous infusion of a sedative anesthesia were planned. Despite concerns regarding seizure control, bleeding control, and airway management, no specific complications occurred during the treatments, and the patient was satisfied with the results.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ansiedade
/
Reabilitação
/
Convulsões
/
Infusões Intravenosas
/
Síndrome de Sturge-Weber
/
Clínicas Odontológicas
/
Dentição
/
Manuseio das Vias Aéreas
/
Gengiva
/
Hemorragia
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Journal of Dental Anesthesia and Pain Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo
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